dp_003 q06 20 files multi_hop Codex

A cards fellow made a remark during Hugo Marchetti's admission that was quoted verbatim in the hospitalist admit note. What did the fellow say, and which progress note from the next day records the time at which ticagrelor was loaded in the cath lab?

Gold answer

Dr. K. Lin, the cards fellow, said 'the lab is running 60–90 minutes behind today due to an earlier STEMI.' The cath-day progress note (2025-11-09) records that ticagrelor loading occurred at 11:32.

Filesystem View raw JSON
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Output
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#1 Ran find . -maxdepth 2 -name AGENTS.md -print 12 chars
Command command_execution
find . -maxdepth 2 -name AGENTS.md -print
Result 2 lines
./AGENTS.md
#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 sed -n '1,240p' agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md 22,268 chars
Command command_execution
sed -n '1,240p' agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md
Result 15 lines
# Riverside General Hospital — Department of Internal Medicine — Hospitalist Service — Admission H&P — 11/08/2025 14:35

```
Epic — Hospital Medicine H&P v9 — generated 11/08/2025 14:35 — User: QOKAFOR — Cosigned: pending
```

---

## Patient Identifiers

- **Name:** Marchetti, Hugo
- **MRN:** R-487293012 (Riverside General system)
- **DOB:** 1973-04-22 (age 52)
- **Sex:** Male
- **Preferred langu…
#1 Ran sed -n '1,240p' agent_memory/clinical/progress/cath-day-progress-2025-11-09.md 18,018 chars
Command command_execution
sed -n '1,240p' agent_memory/clinical/progress/cath-day-progress-2025-11-09.md
Result 8 lines
# Hospital Medicine — Daily Progress Note — Day 1 — 11/09/2025 06:50

`Epic — Daily Progress Note v7 — generated 11/09/2025 06:50 — User: QOKAFOR`

**Patient:** Hugo Marchetti, 52 M, MRN R-487293012, HD#2.
**Location:** Step-down 3-South, Bed 14B (pre-cath); planned transfer to Cath Lab Bay 2 at case-call.
**Service:** Hospital Medicine — Dr. Quincy Okafor, MD attending.
**Co-managing:** Intervent…
#1 Ran sed -n '1,240p' agent_memory/clinical/progress/post-cath-progress-2025-11-10.md 13,615 chars
Command command_execution
sed -n '1,240p' agent_memory/clinical/progress/post-cath-progress-2025-11-10.md
Result 12 lines
```
================================================================================
  Epic — Daily Progress Note v7 — generated 11/10/2025 07:10 — User: QOKAFOR
================================================================================
```

# Hospital Medicine — Daily Progress Note — Day 2 — 11/10/2025 07:10

**Patient:** Marchetti, Hugo
**MRN:** R-487293012
**DOB:** 1973-04-22 (Age 52, M)
…
#1 Ran rg -n "fellow|ticagrelor|loaded|load|cath lab|quoted|verbatim|cards|Marchetti" agent_memory 124,320 chars
Command command_execution
rg -n "fellow|ticagrelor|loaded|load|cath lab|quoted|verbatim|cards|Marchetti" 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:14:> Body text reproduced verbatim; no editorial cuts. Auto-replies and system
agent_memory/corr…
#1 Ran nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '190,235p' 3,083 chars
Command command_execution
nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '190,235p'
Result 2 lines
   190	- **IV access plan:** maintain right antecubital 18-gauge for now. **If radial access is used for cath, ensure the non-cath arm is used for blood pressure cuffs**, and the TR Band protocol is followed post-procedure.
   191	- **Pain reassessment plan:** structured q4h pain reassessment using a CIWA-like format (borrowed structure, not actual CIWA — patient is not in withdrawal); SL nitrogly…
#1 Ran nl -ba agent_memory/clinical/progress/cath-day-progress-2025-11-09.md | sed -n '120,175p' 4,272 chars
Command command_execution
nl -ba agent_memory/clinical/progress/cath-day-progress-2025-11-09.md | sed -n '120,175p'
Result 6 lines
   120	
   121	## Cath Lab Handoff Note (10:55)
   122	
   123	Patient handed off to interventional team at 10:55 by Okafor (verbal SBAR) and floor RN to cath lab RN at 10:58. Heparin gtt running, IV intact, telemetry transferred, last vitals at 10:50 HR 76, BP 128/76, SpO2 98% RA, pain 0/10. Anxiety mild; declined anxiolytic. NPO confirmed.
   124	
   125	**Cath start delayed to 11:18.** Patient …
#1 Ran nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '170,190p' 3,096 chars
Command command_execution
nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '170,190p'
Result 4 lines
   170	
   171	## Hospital Course to Date
   172	
   173	This is the admission H&P. The patient was evaluated in the ED at 09:42 by Dr. Velásquez; serial troponins, ECGs, and risk stratification confirmed an NSTEMI. He responded well to aspirin 324 mg, IV nitroglycerin, and IV metoprolol. Heparin infusion was initiated in the ED. He arrived at 4-North bed 412 at approximately 13:30 hemodynamically…
Answer
Dr. K. Lin’s verbatim remark was: “the lab is running 60–90 minutes behind today due to an earlier STEMI.” See [hospitalist admit note](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187). The next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/progress/cath-da…
Judge: covers all asked facts
SMFS Won View raw JSON
Input
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Output
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#1 Ran rg -n "Hugo Marchetti|Marchetti|ticagrelor|Brilinta|hospitalist|cards fellow|cardiology fellow|fellow" . 100,580 chars
Command command_execution
rg -n "Hugo Marchetti|Marchetti|ticagrelor|Brilinta|hospitalist|cards fellow|cardiology fellow|fellow" .
Result 3 lines
./correspondence/provider/pcp-handoff-letter-2025-11-12.md:16:RE:    Discharge handoff — Hugo Marchetti (DOB 1973-04-22; MRN R-487293012)
./correspondence/provider/pcp-handoff-letter-2025-11-12.md:31:**Re:** Hugo Marchetti — DOB 1973-04-22 — MRN R-487293012
./correspondence/provider/pcp-handoff-letter-2025-11-12.md:37:Thank you for the opportunity to participate in the care of your long-standing p…
#1 Ran ls -la 496 chars
Command command_execution
ls -la
Result 8 lines
total 5
drwxr-xr-x  6 root      wheel     0 May 13 02:19 .
drwxr-xr-x@ 6 prasanna  staff   192 May 13 02:19 ..
drwxr-xr-x  5 root      wheel     0 May 13 02:19 clinical
-rw-r--r--  1 root      wheel   487 May 13 02:19 clinical_note_hugo_marchetti_2025-11-22.md
drwxr-xr-x  4 root      wheel     0 May 13 02:19 correspondence
drwxr-xr-x  4 root      wheel     0 May 13 02:19 memory
-r--r--r--  1 root …
#1 Ran rg --files | rg 'hospitalist|progress|admit|2025-11-09|2025-11-08' 382 chars
Command command_execution
rg --files | rg 'hospitalist|progress|admit|2025-11-09|2025-11-08'
Result 8 lines
clinical/specialty/cardiology-cath-report-2025-11-09.md
clinical/admission/triage-assessment-2025-11-08.md
clinical/admission/hospitalist-admit-note-2025-11-08.md
clinical/admission/er-admission-note-2025-11-08.md
clinical/progress/post-cath-progress-2025-11-10.md
clinical/progress/hugo-marchetti-antiplatelet-update-2025-11-22.md
clinical/progress/cath-day-progress-2025-11-09.md
#1 Ran smfs grep "cards fellow remark quoted verbatim hospitalist admit note Hugo Marchetti" . 2,234 chars
Command command_execution
smfs grep "cards fellow remark quoted verbatim hospitalist admit note Hugo Marchetti" .
Result 5 lines
/memory/profiles/hugo-marchetti-patient-profile.md:Hugo Marchetti was diagnosed with an NSTEMI on 2025-11-08 and underwent PCI for a mid-LAD lesion with a Synergy DES stent on 2025-11-09.

/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-…
#1 Ran smfs grep "ticagrelor loaded time cath lab progress note next day Hugo Marchetti" . 4,290 chars
Command command_execution
smfs grep "ticagrelor loaded time cath lab progress note next day Hugo Marchetti" .
Result 6 lines
# supermemory semantic search — 10 results for "ticagrelor loaded time cath lab progress note next day Hugo Marchetti"
# 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)
/…
#1 Ran nl -ba clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '1,240p' 23,948 chars
Command command_execution
nl -ba clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '1,240p'
Result 12 lines
     1	# Riverside General Hospital — Department of Internal Medicine — Hospitalist Service — Admission H&P — 11/08/2025 14:35
     2	
     3	```
     4	Epic — Hospital Medicine H&P v9 — generated 11/08/2025 14:35 — User: QOKAFOR — Cosigned: pending
     5	```
     6	
     7	---
     8	
     9	## Patient Identifiers
    10	
    11	- **Name:** Marchetti, Hugo
    12	- **MRN:** R-487293012 (Riversid…
#1 Ran nl -ba clinical/progress/cath-day-progress-2025-11-09.md | sed -n '1,260p' 21,185 chars
Command command_execution
nl -ba clinical/progress/cath-day-progress-2025-11-09.md | sed -n '1,260p'
Result 7 lines
     1	# Hospital Medicine — Daily Progress Note — Day 1 — 11/09/2025 06:50
     2	
     3	`Epic — Daily Progress Note v7 — generated 11/09/2025 06:50 — User: QOKAFOR`
     4	
     5	**Patient:** Hugo Marchetti, 52 M, MRN R-487293012, HD#2.
     6	**Location:** Step-down 3-South, Bed 14B (pre-cath); planned transfer to Cath Lab Bay 2 at case-call.
     7	**Service:** Hospital Medicine — Dr. Quincy…
#1 Ran nl -ba clinical/progress/post-cath-progress-2025-11-10.md | sed -n '1,260p' 16,437 chars
Command command_execution
nl -ba clinical/progress/post-cath-progress-2025-11-10.md | sed -n '1,260p'
Result 9 lines
     1	```
     2	================================================================================
     3	  Epic — Daily Progress Note v7 — generated 11/10/2025 07:10 — User: QOKAFOR
     4	================================================================================
     5	```
     6	
     7	# Hospital Medicine — Daily Progress Note — Day 2 — 11/10/2025 07:10
     8	
     9	**Patient:** Marche…
Answer
Dr. K. Lin said: “the lab is running 60–90 minutes behind today due to an earlier STEMI.” See [hospitalist-admit-note-2025-11-08.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187). The next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/progress/cath-d…
Judge: covers all asked facts