dp_003 q04 20 files multi_hop Codex

What was Hugo Marchetti's baseline hemoglobin on the day of his NSTEMI presentation, what was his hemoglobin when his PCP drew labs eleven days later, and how large was the drop in grams per deciliter as documented in those same PCP office labs?

Gold answer

Baseline hemoglobin on Day 0 (2025-11-08) was 13.4 g/dL. On Day 11 at the PCP office (2025-11-19) it was 9.8 g/dL. The PCP office lab report documents the drop as 3.6 g/dL from baseline.

Filesystem View raw JSON
Input
318k
Output
2k
Steps
1
Tools
10
Latency
42.6s
Cost
$3.88
#1 Ran rg --files agent_memory 1,251 chars
Command command_execution
rg --files agent_memory
Result 6 lines
agent_memory/correspondence/patient/patient-portal-messages.md
agent_memory/correspondence/patient/patient-symptom-journal-hugo.md
agent_memory/correspondence/provider/pcp-handoff-letter-2025-11-12.md
agent_memory/correspondence/provider/cohort-followup-velasquez-personal.md
agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md
agent_memory/clinical/specialty/cardiology-cath-rep…
#1 Ran find agent_memory -maxdepth 2 -type f | sort
Command command_execution
find agent_memory -maxdepth 2 -type f | sort
#1 Ran sed -n '1,220p' agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md 10,460 chars
Command command_execution
sed -n '1,220p' agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md
Result 8 lines
```
================================================================================
RIVERSIDE GENERAL HOSPITAL — DEPARTMENT OF LABORATORY MEDICINE
INWOOD CAMPUS — 4115 Broadway, New York, NY 10033
CLIA #33D2014872   |   CAP #7891245   |   NYS DOH PFI #00214-LAB
Director: Dr. Hiroko Yamazaki, MD, PhD — Pathology / Clinical Chemistry
Lab telephone (main): 212-555-0303     Lab fax: 212-555-0304
Path…
#1 Ran sed -n '1,220p' agent_memory/tests/labs/labs-day11-pcp-office-cbc.md 16,786 chars
Command command_execution
sed -n '1,220p' agent_memory/tests/labs/labs-day11-pcp-office-cbc.md
Result 9 lines
```
=========================================================================
   [ logo: small green-on-cream caduceus + magnolia leaf — printed top-left ]
   MOTT HAVEN FAMILY MEDICINE — INWOOD SATELLITE
   OUTPATIENT LABORATORY
   1245 St. Nicholas Avenue, New York, NY 10033
   Office: (212) 555-0319    Fax: (212) 555-0320
   CLIA #33D9120441
=====================================================…
#1 Ran rg -n "hemoglobin|Hgb|NSTEMI|drop|eleven|11" agent_memory 231,271 chars
Command command_execution
rg -n "hemoglobin|Hgb|NSTEMI|drop|eleven|11" agent_memory
Result 3 lines
agent_memory/correspondence/patient/patient-portal-messages.md:5:  Secure messaging is for non-urgent communication; for emergencies call 911.
agent_memory/correspondence/patient/patient-portal-messages.md:7:  Thread: "Hugo Marchetti — Cardiac/GI care 2025-11-08 → 2025-12-01"
agent_memory/correspondence/patient/patient-portal-messages.md:9:  Audit log: routing exception RXC-118-2025 logged 2025-11…
#1 Ran nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '130,170p' 2,040 chars
Command command_execution
nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '130,170p'
Result 8 lines
   130	     [In-process stamp: 16:31   →   FINAL stamp: 16:38]
   131	
   132	  Trend interpretation: 0.21 → 0.84 → 1.32 ng/mL — a clear, reproducible
   133	  rising pattern over 6 hours. Delta exceeds institutional MI-rule-in
   134	  threshold (≥20% rise from a baseline >URL).
   135	
   136	  >> Aggregate impression (Dr. Antoun, cosigned by Dr. Yamazaki, MD, PhD):
   137	     Serial troponin I…
#1 Ran nl -ba agent_memory/tests/labs/labs-day11-pcp-office-cbc.md | sed -n '70,135p' 5,629 chars
Command command_execution
nl -ba agent_memory/tests/labs/labs-day11-pcp-office-cbc.md | sed -n '70,135p'
Result 3 lines
    70	| FOBT card #1 (in-office bathroom) | Hemoccult Sensa | n/a | 09:55 | Patient self-collected, witnessed | Estrada-Bonilla, RN | Valid; pos+neg controls run |
    71	| FOBT card #2 (home, 11/18 AM) | Hemoccult Sensa | n/a | brought from home | Patient | Estrada-Bonilla, RN | Valid |
    72	| FOBT card #3 (home, 11/18 PM) | Hemoccult Sensa | n/a | brought from home | Patient | Estrada-Bonilla…
#1 Ran /bin/zsh -lc pwd 93 chars
Command command_execution
/bin/zsh -lc pwd
Result 2 lines
/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003
#1 Ran nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '166,215p' 2,859 chars
Command command_execution
nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '166,215p'
Result 8 lines
   166	## PANEL 2 — COMPLETE BLOOD COUNT (CBC) WITH DIFFERENTIAL
   167	
   168	```
   169	Methodology   : Automated impedance + flow cytometry; 6-part diff
   170	Instrument    : Beckman Coulter DxH 900 (Lab #DXH-900-02)
   171	Specimen      : Whole blood, K2-EDTA lavender-top, 3.0 mL fill (target 3.0)
   172	                Clot-free; QC pass.
   173	Collected     : 2025-11-08 10:14   Accession:…
#1 Ran nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '213,222p' 411 chars
Command command_execution
nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '213,222p'
Result 10 lines
   213	```
   214	Footnote (b) — Hgb 13.4 g/dL: near lower-normal limit for adult men; will
   215	serve as baseline for monitoring during anticoagulation/antiplatelet therapy.
   216	Clinician-facing note: "Hgb 13.4 represents baseline pre-event hemoglobin;
   217	recommend repeat at 24 h and at any new bleeding concern."
   218	```
   219	
   220	---
   221	
   222	## PANEL 3 — BASIC METABOLIC P…
Answer
Hugo Marchetti’s day-0 NSTEMI presentation hemoglobin was **13.4 g/dL** on **2025-11-08**. Eleven days later, at the PCP office lab draw on **2025-11-19**, his hemoglobin was **9.8 g/dL**. The PCP office labs documented the drop as **3.6 g/dL**. Sources: [day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP CBC interpretation](/Users/prasanna/Documents/supermemoryai/supermemoryfs…
Judge: covers all asked facts
SMFS Won View raw JSON
Input
148k
Output
2k
Steps
1
Tools
5
Latency
55.9s
Cost
$1.84
#1 Ran pwd && rg --files 1,220 chars
Command command_execution
pwd && rg --files
Result 8 lines
/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory
profile.md
clinical_note_hugo_marchetti_2025-11-22.md
clinical/specialty/gi-consult-egd-2025-11-21.md
clinical/specialty/cardiology-followup-clinic-2025-11-17.md
clinical/specialty/cardiology-cath-report-2025-11-09.md
clinical/progress/post-cath-progress-2025-11-10.md
clinical/progress/hugo-…
#1 Ran smfs grep "Hugo Marchetti NSTEMI hemoglobin PCP labs eleven days later drop grams per deciliter" 2,245 chars
Command command_execution
smfs grep "Hugo Marchetti NSTEMI hemoglobin PCP labs eleven days later drop grams per deciliter"
Result 5 lines
# supermemory semantic search — 10 results for "Hugo Marchetti NSTEMI hemoglobin PCP labs eleven days later drop grams per deciliter"
# searches by meaning across files in this container. usage:
#   grep "natural language query"          search all files
#   grep "query" path/to/dir/              search within directory
# output: <filepath>:<line_start>-<line_end>:<chunk> (chunk text is verbatim f…
#1 Ran nl -ba tests/labs/labs-day11-pcp-office-cbc.md 36,798 chars
Command command_execution
nl -ba tests/labs/labs-day11-pcp-office-cbc.md
Result 8 lines
     1	```
     2	=========================================================================
     3	   [ logo: small green-on-cream caduceus + magnolia leaf — printed top-left ]
     4	   MOTT HAVEN FAMILY MEDICINE — INWOOD SATELLITE
     5	   OUTPATIENT LABORATORY
     6	   1245 St. Nicholas Avenue, New York, NY 10033
     7	   Office: (212) 555-0319    Fax: (212) 555-0320
     8	   CLIA #33D91204…
#1 Ran nl -ba tests/labs/labs-day0-troponins-cbc-bmp.md 41,395 chars
Command command_execution
nl -ba tests/labs/labs-day0-troponins-cbc-bmp.md
Result 7 lines
     1	```
     2	================================================================================
     3	RIVERSIDE GENERAL HOSPITAL — DEPARTMENT OF LABORATORY MEDICINE
     4	INWOOD CAMPUS — 4115 Broadway, New York, NY 10033
     5	CLIA #33D2014872   |   CAP #7891245   |   NYS DOH PFI #00214-LAB
     6	Director: Dr. Hiroko Yamazaki, MD, PhD — Pathology / Clinical Chemistry
     7	Lab telephone (m…
#1 Ran rg -n "hemoglobin|Hgb|drop|NSTEMI|PCP|eleven|11" . 233,759 chars
Command command_execution
rg -n "hemoglobin|Hgb|drop|NSTEMI|PCP|eleven|11" .
Result 4 lines
./tests/labs/labs-day11-pcp-office-cbc.md:13:# With Office Telephone-Encounter Note + PCP Instruction Letter Appended
./tests/labs/labs-day11-pcp-office-cbc.md:15:**Report ID:** MHFM-LAB-2025-1119-44820-01
./tests/labs/labs-day11-pcp-office-cbc.md:49:| Date order placed | 2025-11-17 (entered after the outpatient cardiology follow-up) |
./tests/labs/labs-day11-pcp-office-cbc.md:50:| Date specimens …
Answer
Hugo Marchetti’s baseline hemoglobin on the NSTEMI presentation date, **2025-11-08**, was **13.4 g/dL**. His PCP office labs eleven days later, on **2025-11-19**, showed hemoglobin **9.8 g/dL**. The PCP lab report documented the drop from baseline as **3.6 g/dL**. Sources: [Day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP office labs](/Users/prasanna/Documents/supermemoryai…
Judge: covers all asked facts