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dp_003 q05 20 files multi_hop Codex

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 View raw JSON
Input
297k
Output
2k
Steps
1
Tools
6
Latency
38.2s
Cost
$3.64
#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 rg -n "Hugo Marchetti|Marchetti|mid-LAD|DAPT|wallet card|post-dilation|post dilation|balloon" agent_memory 101,709 chars
Command command_execution 
rg -n "Hugo Marchetti|Marchetti|mid-LAD|DAPT|wallet card|post-dilation|post dilation|balloon" agent_memory
Result 4 lines 
agent_memory/correspondence/patient/patient-portal-messages.md:4:  Account: H. Marchetti — MRN R-487293012
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:21:### Message 01 — Family update questions — Hugo Marchetti room 412
agent_memory/correspondenc…
#1 Ran nl -ba agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '1,220p' 11,353 chars
Command command_execution 
nl -ba agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '1,220p'
Result 13 lines 
     1	# Riverside General Hospital — Cardiac Catheterization Laboratory — Procedure Report — 11/09/2025
     2	
     3	*Epic — Cath Lab Procedure Report v5.1 — generated 11/09/2025 13:18.*
     4	
     5	---
     6	
     7	## Patient
     8	
     9	- **Name:** Marchetti, Hugo
    10	- **MRN:** R-487293012
    11	- **DOB:** 1973-04-22 (age 52, M)
    12	- **Wt/Ht:** 86 kg / 178 cm; BMI 27.1
    13…
#1 Ran nl -ba agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md | sed -n '1,260p' 31,934 chars
Command command_execution 
nl -ba agent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md | sed -n '1,260p'
Result 7 lines 
     1	```
     2	================================================================================
     3	   MANHATTAN HEART ASSOCIATES
     4	   Riverside General Cardiology Faculty Practice
     5	   Suite 502  |  4115 Broadway, New York, NY 10033
     6	   Tel: 212-555-0240  |  Fax: 212-555-0241  |  After-hours pager: 917-555-0182
     7	=========================================================…
#1 Ran nl -ba agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '220,360p' 9,272 chars
Command command_execution 
nl -ba agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '220,360p'
Result 7 lines 
   220	
   221	## 14. Intervention — PCI of mid-LAD
   222	
   223	- **Guide:** 6F EBU 3.5 Launcher engaged LMCA.
   224	- **Wire:** **Runthrough Hypercoat 0.014" floppy** advanced across mid-LAD lesion → distal LAD; smooth passage; no resistance.
   225	- **Pre-dilation:** **NC Trek 2.5 × 15 mm at 12 atm × 1** inflation, ~20 sec; lesion expanded; no edge dissection on follow-up angio.
   226	- **…
#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
Answer
Hugo Marchetti’s mid-LAD stent was a **Boston Scientific Synergy DES 3.0 x 23 mm**. Post-dilation used an **NC Trek 3.25 x 15 mm balloon at 18 atm**, with **two inflations**. The wallet card in the first outpatient cardiology follow-up lists: **“DAPT until at least: 2026-11-09.”** Sources: [cath report](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md:226), [follow-up note](/Users/…
Judge: covers all asked facts
SMFS Won View raw JSON
Input
166k
Output
2k
Steps
1
Tools
5
Latency
1.2m
Cost
$2.06
#1 Ran rg -n "Hugo Marchetti|Marchetti|mid-LAD|mid LAD|DAPT|wallet card|post-dilat|post dilat|post-dilation|balloon" . 101,304 chars
Command command_execution 
rg -n "Hugo Marchetti|Marchetti|mid-LAD|mid LAD|DAPT|wallet card|post-dilat|post dilat|post-dilation|balloon" .
Result 2 lines 
./correspondence/provider/cohort-followup-velasquez-personal.md:47:P.D. did her usual clean job — *95% mid-LAD* (the culprit), single vessel, *Synergy 3.0×23*, post-dilate 3.25 at 18, TIMI 3 final. LCx 30% non-obstructive. RCA 20% non-obstructive, RCA dominant. Distal vessels patent. Right radial access; TR Band; no hematoma post-procedure. She loaded ticagrelor 180 in the lab.
./correspondence/pr…
#1 Ran find . -maxdepth 3 -type f | sort | sed 's#"'^./##'"' 1,112 chars
Command command_execution 
find . -maxdepth 3 -type f | sort | sed 's#"'^./##'"'
Result 8 lines 
clinical/admission/er-admission-note-2025-11-08.md
clinical/admission/hospitalist-admit-note-2025-11-08.md
clinical/admission/triage-assessment-2025-11-08.md
clinical/progress/cath-day-progress-2025-11-09.md
clinical/progress/hugo-marchetti-antiplatelet-update-2025-11-22.md
clinical/progress/post-cath-progress-2025-11-10.md
clinical/specialty/cardiology-cath-report-2025-11-09.md
clinical/specialty…
#1 Ran nl -ba clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '1,240p' 12,677 chars
Command command_execution 
nl -ba clinical/specialty/cardiology-cath-report-2025-11-09.md | sed -n '1,240p'
Result 13 lines 
     1	# Riverside General Hospital — Cardiac Catheterization Laboratory — Procedure Report — 11/09/2025
     2	
     3	*Epic — Cath Lab Procedure Report v5.1 — generated 11/09/2025 13:18.*
     4	
     5	---
     6	
     7	## Patient
     8	
     9	- **Name:** Marchetti, Hugo
    10	- **MRN:** R-487293012
    11	- **DOB:** 1973-04-22 (age 52, M)
    12	- **Wt/Ht:** 86 kg / 178 cm; BMI 27.1
    13…
#1 Ran nl -ba clinical/specialty/cardiology-followup-clinic-2025-11-17.md | sed -n '1,220p' 28,136 chars
Command command_execution 
nl -ba clinical/specialty/cardiology-followup-clinic-2025-11-17.md | sed -n '1,220p'
Result 7 lines 
     1	```
     2	================================================================================
     3	   MANHATTAN HEART ASSOCIATES
     4	   Riverside General Cardiology Faculty Practice
     5	   Suite 502  |  4115 Broadway, New York, NY 10033
     6	   Tel: 212-555-0240  |  Fax: 212-555-0241  |  After-hours pager: 917-555-0182
     7	=========================================================…
#1 Ran smfs grep "Hugo Marchetti wallet card DAPT end date first outpatient cardiology follow-up" . 3,131 chars
Command command_execution 
smfs grep "Hugo Marchetti wallet card DAPT end date first outpatient cardiology follow-up" .
Result 5 lines 
/memory/profiles/hugo-marchetti-patient-profile.md:Hugo Marchetti developed erosive gastritis and a GI bleed in November 2025 due to an NSAID lapse (ibuprofen use) while on DAPT.

/memory/conditions/antiplatelet-gi-bleed-reference.md:Hugo Marchetti recovered well by early December 2025, with hemoglobin returning to 11.4 and plans to restart cardiac rehab.

/memory/profiles/hugo-marchetti-patient-p…
Answer
Hugo Marchetti’s mid-LAD stent was a **Boston Scientific Synergy DES 3.0 × 23 mm**. Post-dilation used an **NC Trek 3.25 × 15 mm balloon at 18 atm**, with **2 inflations** within the stent struts. The wallet card in the first outpatient cardiology follow-up lists: **“DAPT until at least: 2026-11-09.”** Sources: [cath report](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/specialty/cardiology-cath-report-2025-11-09.md:226), …
Judge: covers all asked facts