dp_003 q05 20 files multi_hop Claude Code

What stent was deployed in Hugo Marchetti's mid-LAD, what balloon was used for post-dilation and at what pressure, and what DAPT end-date appears on the wallet card reproduced in his first outpatient cardiology follow-up note?

Gold answer

The stent deployed was a Boston Scientific Synergy DES 3.0 × 23 mm. Post-dilation was performed with an NC Trek 3.25 × 15 mm balloon at 18 atm × 2. The wallet card in the Day-9 cardiology follow-up note records 'DAPT until at least: 2026-11-09'.

Filesystem Won View raw JSON
Input
267k
Output
281
Steps
9
Tools
6
Latency
26.7s
Cost
$4.03
#2 Edited /Users/prasanna/.claude/projects/-Users-prasanna-Documents-supermemoryai-supermemoryfs/memory/reference_hugo_marchetti_stent.md 1,095 chars
Command Read
{
  "file_path": "/Users/prasanna/.claude/projects/-Users-prasanna-Documents-supermemoryai-supermemoryfs/memory/reference_hugo_marchetti_stent.md"
}
Result 4 lines
<system-reminder>This memory is 6 days old. Memories are point-in-time observations, not live state — claims about code behavior or file:line citations may be outdated. Verify against current code before asserting as fact.</system-reminder>
1	---
2	name: Hugo Marchetti — stent and antiplatelet history
3	description: Clinical note: Boston Scientific Synergy DES in mid-LAD (2025-11-09), GI bleed, an…
#3 Ran ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/ 36 chars
Command Bash
ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/

{
  "description": "List agent_memory directory"
}
Result 4 lines
clinical
correspondence
memory
tests
#5 Ran ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/ /Users/prasanna/Docum… 429 chars
Command Bash
ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/ /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/correspondence/ /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/memory/

{
  "description": "List subdirectories"
}
Result 11 lines
/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/:
admission
progress
specialty

/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/correspondence/:
family
patient
provider

/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory…
#6 Read /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/ 978 chars
Command Grep
{
  "pattern": "balloon|post-dilat|atm|DAPT|wallet",
  "path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/",
  "output_mode": "files_with_matches",
  "-i": true
}
Result 7 lines
Found 15 files
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/card…
#7 Read agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md 2,523 chars
Command Grep
{
  "pattern": "balloon|post-dilat|atm|wallet",
  "path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md",
  "output_mode": "content",
  "-i": true,
  "-C": 2
}
Result 10 lines
121-  - 0.035" J-tip (dx)
122-  - Runthrough Hypercoat 0.014" floppy (intervention; used)
123:Balloons:
124-  - NC Trek 2.5 × 15 mm (pre-dilation)
125:  - NC Trek 3.25 × 15 mm (post-dilation)
126-Stent:
127-  - Boston Scientific Synergy DES 3.0 × 23 mm
--
223-- **Guide:** 6F EBU 3.5 Launcher engaged LMCA.
224-- **Wire:** **Runthrough Hypercoat 0.014" floppy** advanced across mid-LAD lesion → dista…
#8 Read agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md 2,378 chars
Command Grep
{
  "pattern": "balloon|post-dilat|atm|wallet|DAPT",
  "path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md",
  "output_mode": "content",
  "-i": true,
  "-C": 2
}
Result 9 lines
33-[Omitted long context line]
34-
35:[Omitted long matching line]
36-
37-[Omitted long context line]
--
178-
179-1. **Continue current regimen unchanged** — aspirin 81 mg daily, ticagrelor 90 mg BID, atorvastatin 80 mg daily, metoprolol succinate 50 mg daily, lisinopril 10 mg daily, SL nitroglycerin 0.4 mg PRN, loratadine 10 mg PRN.
180:2. **DAPT duration:** aspirin + ticagrelor through at least …
#9 Reasoning 1,108 chars
I have all three details from the source documents.

**Stent (mid-LAD):** Boston Scientific Synergy DES, 3.0 × 23 mm — deployed at 14 atm on 2025-11-09.

**Post-dilation balloon:** NC Trek 3.25 × 15 mm at **18 atm × 2** inflations (within stent struts, proximal + distal halves).

**DAPT end-date on wallet card** (reproduced in the 2025-11-17 outpatient cardiology follow-up note): **"DAPT until at least: 2026-11-09"** — 12 months from PCI date.

Source: `agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md:125,227` and `agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md:205`.

Note: my prior memory on Hugo had the stent + later ticagrelor→clopidogrel switch after the 11-18 GI bleed, but didn't carry the balloon/atm or wallet card details — those came from the source files. The wallet card date (2026-11-09) reflects the original DAPT plan from the 11-17 visit, which was *before* the GI bleed forced the antiplatelet switch on 11-22, so the card's "ticagrelor through 2026-11-09" plan was subsequently revised. Worth saving these specifics to memory if useful.
Answer
I have all three details from the source documents. **Stent (mid-LAD):** Boston Scientific Synergy DES, 3.0 × 23 mm — deployed at 14 atm on 2025-11-09. **Post-dilation balloon:** NC Trek 3.25 × 15 mm at **18 atm × 2** inflations (within stent struts, proximal + distal halves). **DAPT end-date on wallet card** (reproduced in the 2025-11-17 outpatient cardiology follow-up note): **"DAPT until at least: 2026-11-09"** — 12 months from PCI date. Source: `agent_memory/clinical/specialty/cardiology…
Judge: covers all asked facts
SMFS View raw JSON
Input
344k
Output
324
Steps
13
Tools
6
Latency
34.3s
Cost
$5.18
#2 Reasoning 78 chars
Let me search the agent memory for Hugo Marchetti's cardiac procedure details.
#3 Edited agent_memory/profile.md 1,650 chars
Command Read
{
  "file_path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/profile.md"
}
Result 10 lines
1	# Memory Profile
2	# This file is auto-generated from your memories.
3	# It is not editable. To update, modify the source files
4	# that contain this information.
5	
6	## Core Knowledge
7	- Hugo Marchetti is a 52-year-old retired NYC public-school history teacher living in an Inwood, Manhattan 2nd-floor walk-up.
8	
9	## Recent Context
10	- Hugo Marchetti recovered well by early December 2025, wi…
#4 Ran smfs grep "Hugo Marchetti stent LAD" 2,184 chars
Command Bash
smfs grep "Hugo Marchetti stent LAD"

{
  "description": "Search agent_memory for Hugo Marchetti stent details"
}
Result 7 lines
# supermemory semantic search — 10 results for "Hugo Marchetti stent LAD"
# 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 from the file)

/memory/profiles/hugo-marchetti-patient-profi…
#6 Reasoning 139 chars
I found the high-level info but need the specific procedural details. Let me search deeper for the balloon, pressure, and DAPT wallet card.
#7 Ran smfs grep "balloon post-dilation pressure" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/ag… 7,665 chars
Command Bash
smfs grep "balloon post-dilation pressure" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "description": "Search for balloon post-dilation details"
}
Result 7 lines
# supermemory semantic search — 10 results for "balloon post-dilation pressure"
# 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 from the file)

/memory/profiles/hugo-marchetti-patient…
#8 Ran smfs grep "DAPT wallet card end date" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_m… 7,663 chars
Command Bash
smfs grep "DAPT wallet card end date" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "description": "Search for DAPT wallet card end date"
}
Result 7 lines
# supermemory semantic search — 10 results for "DAPT wallet card end date"
# 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 from the file)

/memory/profiles/hugo-marchetti-patient-prof…
#9 Ran smfs grep "outpatient cardiology follow-up note" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_… 6,878 chars
Command Bash
smfs grep "outpatient cardiology follow-up note" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "description": "Search for outpatient cardiology follow-up note"
}
Result 7 lines
# supermemory semantic search — 10 results for "outpatient cardiology follow-up note"
# 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 from the file)

/memory/profiles/hugo-marchetti-p…
#11 Reasoning 74 chars
Let me check the outpatient follow-up note for the reproduced wallet card.
#12 Ran smfs grep "wallet card reproduced follow-up" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/… 9,297 chars
Command Bash
smfs grep "wallet card reproduced follow-up" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "description": "Search for wallet card in follow-up note"
}
Result 7 lines
# supermemory semantic search — 10 results for "wallet card reproduced follow-up"
# 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 from the file)

/tests/reports/discharge-summary-2025…
#13 Reasoning 596 chars
I now have all the details. Here are the answers:

1. **Stent deployed in the mid-LAD:** Boston Scientific **Synergy DES 3.0 × 23 mm**, deployed at 14 atm.

2. **Post-dilation balloon and pressure:** An **NC Trek 3.25 × 15 mm** non-compliant balloon at **18 atm**, with two inflations (proximal half and distal half of the stent), ~10 seconds each.

3. **DAPT end-date on the wallet card** (reproduced in Dr. Sun-Mi Park's first outpatient cardiology follow-up note on 2025-11-17): **2026-11-09** — i.e., 12 months from the stent placement date. The card reads: "DAPT until at least: 2026-11-09."
Answer
I now have all the details. Here are the answers: 1. **Stent deployed in the mid-LAD:** Boston Scientific **Synergy DES 3.0 × 23 mm**, deployed at 14 atm. 2. **Post-dilation balloon and pressure:** An **NC Trek 3.25 × 15 mm** non-compliant balloon at **18 atm**, with two inflations (proximal half and distal half of the stent), ~10 seconds each. 3. **DAPT end-date on the wallet card** (reproduced in Dr. Sun-Mi Park's first outpatient cardiology follow-up note on 2025-11-17): **2026-11-09** — i…
Judge: covers all asked facts