EKWbench

task_53Health care and social assistance

17 verifiers · 13 core · 4 secondary · 17 LLM-graded

TaxonomyHealth care and social assistanceMedical and health services managers

All trialsGPT-5.6 SolcodexTrial 01

92%

Trial reward

GPT-5.6 SolPass

Trial 01 — 3rd of 4 by reward score. This model averages 92.8% across 4 trials on this task.

  • 13/13Core verifiers passed
  • 15/17All verifiers passed
  • 41Turns
  • 29Tool calls
  • $3.07Cost
  • 19.3mTime
  • 49kOutput tokens

Cleared the core tier; missed 2 secondary — source_hierarchy and side_effects.

core (13)

  • memo_escalationLLMPass
    Why it matters

    The escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.

    How to pass

    Checks whether the memo presents the correct ranked escalation queue and crisis handling.

    Reads

  • memo_count_consistencyLLMPass
    Why it matters

    Incorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.

    How to pass

    Checks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.

    Reads

  • unresolved_priorityLLMPass
    Why it matters

    Unresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.

    How to pass

    Checks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.

    Reads

  • bridge_outreachLLMPass
    Why it matters

    Bridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.

    How to pass

    Checks whether the memo applies the bridge-outreach rule to the correct clients.

    Reads

  • slot_eligibilityLLMPass
    Why it matters

    Slot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.

    How to pass

    Checks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.

    Reads

  • workbook_completenessLLMPass
    Why it matters

    The operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.

    How to pass

    Checks whether the workbook provides complete client-level coverage for the full batch.

    Reads

  • workbook_routing_accuracyLLMPass
    Why it matters

    Client-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.

    How to pass

    Checks whether the workbook records the correct routing pathway for every client.

    Reads

  • workbook_slot_listLLMPass
    Why it matters

    Operations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.

    How to pass

    Checks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.

    Reads

  • workbook_slot_pairsLLMPass
    Why it matters

    Correct client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.

    How to pass

    Checks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.

    Reads

  • workbook_outreachLLMPass
    Why it matters

    Operations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.

    How to pass

    Checks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.

    Reads

  • workbook_protected_contactLLMPass
    Why it matters

    The workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.

    How to pass

    Checks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.

    Reads

  • routine_waitlist_edge_casesLLMPass
    Why it matters

    These edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.

    How to pass

    Checks whether the workbook correctly resolves the four routine/waitlist edge cases.

    Reads

  • memo_protected_contactLLMPass
    Why it matters

    The memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.

    How to pass

    Checks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.

    Reads

secondary (4)

  • source_hierarchyLLMFail
    Why it matters

    The source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.

    How to pass

    Checks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.

    Reads

    Failure mode Required Rationale or Authority Statement Omitted

    Why it failed

    The memo never fully states the required signed-note-over-referral-export hierarchy for the 2026-05-29 review window, and does not explicitly name and exclude the unsigned HN-T9Y6-DRAFT note or confirm BH-T9Y6 was routed from the referral export.

    Justification

    The memo says 'Qualifying signed handoffs superseded conflicting export facts; unsigned HN-T9Y6-DRAFT was ignored,' but it does not show that those signed notes were finalized during the 2026-05-29 09:30-11:40 CT review window or explicitly state that BH-T9Y6 was routed from referral-export facts rather than the draft.

  • scope_controlLLMPass
    Why it matters

    The deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.

    How to pass

    Checks whether the memo stays within access-routing scope rather than giving clinical treatment advice.

    Reads

  • workbook_exclusionsLLMPass
    Why it matters

    A strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.

    How to pass

    Checks whether the workbook documents why tempting capacity was not usable for unresolved clients.

    Reads

  • side_effectsLLMFail
    Why it matters

    The task asks for two reconciliation outputs only, so extra artifacts, policy changes, or capacity releases create unsafe ambiguity and violate the revised deliverable requirement.

    How to pass

    Checks whether the memo avoids materially unsolicited operational side effects and extra artifact instructions.

    Reads

    Failure mode Off-Scope Advice Added

    Why it failed

    The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.

    Justification

    The memo is not fully confined to the specified outputs because it adds a separate "Routine / waitlist reconciliation" section with ordinary-scheduling guidance, including "Avoid duplicative urgent access unless facts change" and other "Remaining ordinary-scheduling constraint" instructions. It otherwise correctly avoids held/QA-pending capacity and restricted collateral contact, but the extra routine/waitlist recommendations make the scope broader than the rubric allows.

2 deliverables · what this trial produced

access_reconciliation_memo.docx17 KB

MEADOWBROOK BEHAVIORAL HEALTH ACCESS SERVICES

Friday Cutover Queue Reconciliation

Urgent-access lead memo | Batch reviewed May 29, 2026 at 11:40 CT

TO

Urgent-Access Lead

DATE

May 29, 2026

SUBJECT

Friday cutover routing, reservations, unresolved priority, and outreach controls

BRIDGE

June 1, 2026 at 11:40 CT

Decision summary

All 16 referrals are reconciled. Five clients must move through escalation before ordinary scheduling: one crisis transfer and four same-day clinician reviews. Nine high-acuity clinical appointments are reserved for 480 clinical minutes. Two priority clients remain unresolved because no eligible clinical slot can be reserved; four priority clients require bridge outreach.

5

Escalation

7

Priority

9

Reserved slots

2

Unresolved

4

Bridge queue

Immediate escalation queue

Process in the policy order below. Priority-only clients are intentionally excluded from this escalation list.

#

Client

Pathway

Controlling facts

Required disposition / reservation

1

BH-J4K9

Crisis transfer

Current intent to act tonight; medication stockpile is accessible; medically attended self-harm on 2026-05-27; mobile-crisis warm transfer accepted.

Mobile-crisis warm transfer accepted. Do not reserve outpatient capacity; await post-crisis disposition. Client-only contact.

2

BH-C3T8

Same-day — Trigger A

Current death/self-harm thoughts; medication method/means considered 18 days ago and supply remains available; no safety plan documented; no current intent.

S-ASR-3P1 · May 29, 2026 · 15:10 CT · East · In-person · 45 min

3

BH-P8A4

Same-day — Trigger B

Age 16; cutting six days ago; current death/self-harm thoughts; guardian phone/authority not verified.

S-YSF-A7Q · May 29, 2026 · 13:05 CT · North · In-person · 45 min Do not treat the unverified guardian as authorized; school counselor may receive scheduling status only.

4

BH-M2N7

Same-day — Trigger C

Active voice commands client to step into traffic; client denies intent and accessible vehicle/weapon/means; clinician did not initiate crisis transfer.

S-PSY-9D2 · May 29, 2026 · 13:30 CT · East · In-person · 45 min

5

BH-L0R6

Same-day — Trigger D

Eight weeks postpartum; intrusive infant-harm images; sleep averages 2.5 hours/night; reliable support not confirmed; no intent; Spanish required.

S-PERI-2B · May 29, 2026 · 14:20 CT · Central · Telehealth · 45 min Do not contact partner; outreach may be to client directly or OB social work only.

Reserved high-acuity clinical appointments

The nine identifiers below are ordered by appointment start. Every row is Open with a blank hold code and satisfies the matched age, program, payer, site, language, modality, telehealth-consent, and contact/consent requirements. No group orientation, held, tentative, or QA-release-pending row is included.

Start (CT)

Slot ID

Client

Program / site

Modality / minutes

Eligibility and bridge control

May 29, 2026 · 13:05 CT

S-YSF-A7Q

BH-P8A4

Youth Safety Review

North

In-person

45 min

North youth-safety slot; Riverbend; English; in-person. Guardian verification may remain pending for the safety review only. Same-day pathway is excluded from bridge count.

May 29, 2026 · 13:30 CT

S-PSY-9D2

BH-M2N7

Psychosis Safety Review

East

In-person

45 min

East psychosis safety; self-pay; English; in-person. Same-day pathway is excluded from bridge count.

May 29, 2026 · 14:20 CT

S-PERI-2B

BH-L0R6

Perinatal Rapid Review

Central

Telehealth

45 min

Central perinatal rapid review; Riverbend; Spanish; telehealth consent signed. Same-day pathway is excluded from bridge count.

May 29, 2026 · 15:10 CT

S-ASR-3P1

BH-C3T8

Adult Safety Review

East

In-person

45 min

East, adult safety, Riverbend, English, in-person. Same-day pathway is excluded from bridge count.

May 31, 2026 · 10:40 CT

P-PDT-6N4

BH-X1D5

Post-Discharge Transition

East

In-person

60 min

East post-discharge transition; Riverbend; English; in-person. First contact is before bridge threshold.

Jun 1, 2026 · 09:20 CT

P-ADT-K3M

BH-R6W8

Adult Therapy Intake

East

Telehealth

60 min

East adult therapy; CedarCare Medicaid; English; telehealth consent signed. First contact is before bridge threshold.

Jun 1, 2026 · 10:15 CT

P-ADT-TRI

BH-T9Y6

Adult Therapy Intake

East

Telehealth

60 min

East perinatal-competent adult intake; BlueChoice; English; telehealth consent signed. First contact is before bridge threshold.

Jun 2, 2026 · 08:45 CT

P-ADT-V4R

BH-Z0B4

Adult Therapy Intake

West

In-person

60 min

West adult therapy; Northstar Select; English; in-person only. Bridge outreach required before appointment.

Jun 2, 2026 · 10:30 CT

P-PER-F8Q

BH-Q2T0

Perinatal Follow-Up

Central

Telehealth

60 min

Central perinatal follow-up; Riverbend; English; telehealth consent signed. Bridge outreach required before appointment.

Reserved clinical minutes: 480. Nonclinical orientation contributes zero minutes.

Unresolved priority cases

These clients meet priority-access criteria, but no current inventory row can be reserved without overriding a controlling constraint.

Client

Priority basis

Why no eligible slot can be reserved

Required queue handling

BH-S5Q2

Stable moderate substance-withdrawal presentation.

Open P-SUD-1FZ is English-only and excludes Riverbend; Spanish/Riverbend P-SUD-7CX is on Hold with INTERPRETER-UNCONFIRMED.

Keep on bridge-outreach queue; any clinical bridge contact must be Spanish-capable. Do not release held capacity.

BH-E7V1

Youth self-injury 15–30 days ago with no current self-harm thoughts.

P-YTH-H5L otherwise matches, but priority youth therapy requires verified guardian/caregiver authority.

Keep on bridge-outreach queue; verify caregiver authority. No voicemail/details to stepfather; counselor gets scheduling status only.

Bridge-outreach queue

Bridge outreach is required for the four priority clients below. Crisis, same-day, and routine/waitlist clients are excluded from this count.

Client

Bridge trigger

Current disposition

Contact / scheduling constraint

BH-S5Q2

All stable moderate-withdrawal/SUD priority cases require bridge outreach; no eligible clinical appointment can be reserved.

No eligible clinical slot

Spanish-capable SUD clinical contact and Riverbend eligibility required; held interpreter capacity cannot be used.

BH-E7V1

No eligible clinical appointment can be reserved because guardian/caregiver authority is not verified.

No eligible clinical slot

North youth therapy; Riverbend; English; in-person; verified guardian/caregiver authority required. No voicemail or details to stepfather; school counselor may receive scheduling status only; verify caregiver authority.

BH-Z0B4

First clinical contact is 2026-06-02 08:45 CT, after the bridge threshold.

P-ADT-V4R · Jun 2, 2026 · 08:45 CT

West adult therapy; Northstar Select; English; in-person only.

BH-Q2T0

First clinical contact is 2026-06-02 10:30 CT, after the bridge threshold.

P-PER-F8Q · Jun 2, 2026 · 10:30 CT

Central perinatal follow-up; Riverbend; English; telehealth consent signed.

Protected-contact carry-forward

Carry these restrictions into outreach and scheduling. Language need, site preference, and lack of telehealth consent alone were not treated as restricted-contact flags.

Client

Pathway

Restriction

Permitted contact / operational carry-forward

BH-J4K9

Crisis transfer

Contact client only; do not use ordinary collateral outreach.

Client only; crisis transfer accepted. Do not initiate ordinary collateral outreach while disposition is pending.

BH-P8A4

Same-day clinician review

Do not treat the unverified guardian as authorized; school counselor may receive scheduling status only.

Same-day youth safety may proceed. School counselor may receive scheduling status only; verify guardian/caregiver authority before later therapy intake.

BH-L0R6

Same-day clinician review

Do not contact partner; outreach may be to client directly or OB social work only.

Client directly or OB social work only. Do not contact partner. Spanish clinical contact remains required.

BH-E7V1

Priority access

No voicemail or details to stepfather; school counselor may receive scheduling status only; verify caregiver authority.

Do not leave voicemail or details with stepfather. School counselor may receive scheduling status only; verify caregiver authority before therapy.

Routine / waitlist reconciliation

No high-acuity slot or bridge outreach is assigned to these four clients under the current facts.

Client

Why routine / waitlist

Remaining ordinary-scheduling constraint

BH-V9F3

High score is covered by an active behavioral-health provider seen within 72 hours; no higher-action trigger.

Avoid duplicative urgent access unless facts change.

BH-N4A1

No crisis, same-day, or priority criterion after signed clarification.

No high-acuity capacity indicated.

BH-A8U2

No crisis, same-day, or priority criterion; non-behavioral encounters do not elevate routing.

No high-acuity capacity indicated.

BH-D5H0

ED observation is not psychiatric inpatient discharge; no other higher-action criterion.

County Access Safety Net is not eligible for routine or priority therapy in this inventory.

Controls applied

The desk reference controlled routing, bridge, payer, language/modality, guardian/caregiver, and contact rules. Qualifying signed handoffs superseded conflicting export facts; unsigned HN-T9Y6-DRAFT was ignored. Raw triage bands were not dispositions, and no diagnosis or medication recommendation was made.

Only Open inventory rows with blank hold_code were reserved. P-GRP-4MJ is nonclinical and contributes no minutes; blocked, held, tentative, and QA-release-pending rows were not used.

User prompt → 41 turns · 29 tool calls → final responsecodex

  1. 1systemskills instructions · Skills A skill is a set of instructions provided through a SKILL.md source. Below is the list of s…

    skills instructions

    Skills

    A skill is a set of instructions provided through a SKILL.md source. Below is the list of skills that can be used. Each entry includes a name, description, and source locator. file locators are on the host filesystem, executor package locators are owned by their execution environment, orchestrator package locators are opaque package identifiers, and custom resource locators use their provider's access mechanism.

    Available skills

    • imagegen: Generate or edit raster images when the task benefits from AI-created bitmap visuals such as photos, illustrations, textures, sprites, mockups, or transparent-background cutouts. Use when Codex should create a brand-new image, transform an existing image, or derive visual variants from references, and the output should be a bitmap asset rather than repo-native code or vector. Do not use when the task is better handled by editing existing SVG/vector/code-native assets, extending an established icon or logo system, or building the visual directly in HTML/CSS/canvas. (file: /tmp/codex-home/skills/.system/imagegen/SKILL.md)
    • openai-docs: Use for Codex models/pricing, scheduled tasks, skills, settings, setup, troubleshooting, customization, automations, and self-knowledge—including 'you,' 'your,' 'this app,' or 'this coding agent' when they refer to Codex—and for OpenAI APIs/products and ChatGPT Work. Also use for model choice/migration, prompting, SDKs, Responses, Realtime, agents, evals, and Chat/Work/Codex comparisons. Do not use for generic app/software tasks that merely mention Codex. (file: /tmp/codex-home/skills/.system/openai-docs/SKILL.md)
    • plugin-creator: Create and scaffold plugin directories for Codex with a required .codex-plugin/plugin.json, optional plugin folders/files, valid manifest defaults, and personal-marketplace entries by default. Use when Codex needs to create a new personal plugin, add optional plugin structure, generate or update marketplace entries for plugi

    … 3,403 more characters in the raw trajectory.

  2. 2systemYou are /root, the primary agent in a team of agents collaborating to fulfill the user's goals. At the start of your tur…

    You are /root, the primary agent in a team of agents collaborating to fulfill the user's goals.

    At the start of your turn, you are the active agent.
    You can spawn sub-agents to handle subtasks, and those sub-agents can spawn their own sub-agents.
    All agents in the team, including the agents that you can assign tasks to, are equally intelligent and capable, and have access to the same set of tools.

    You can use spawn_agent to create a new agent, followup_task to give an existing agent a new task and trigger a turn, and send_message to pass a message to a running agent without triggering a turn.
    Child agents can also spawn their own sub-agents.
    You can decide how much context you want to propagate to your sub-agents with the fork_turns parameter.

    You will receive messages in the analysis channel in the form:

    Message Type: MESSAGE | FINAL_ANSWER
    Task name: <recipient>
    Sender: <author>
    Payload:
    <payload text>
    

    They may be addressed as to=/root

    Note that collaboration tools cannot be called from inside functions.exec. Call spawn_agent, send_message, followup_task, wait_agent, interrupt_agent, and list_agents only as direct tool calls using the recipient shown in their tool definitions, such as to=functions.collaboration.spawn_agent, since they are intentionally absent from the functions.exec tools.* namespace. Available tools in functions.exec are explicitly described with a tools namespace in the developer message.

    All agents share the same directory. In detail:

    • All agents have access to the same container and filesystem as you.
    • All agents use the same current working directory.
    • As a result, edits made by one agent are immediately visible to all other agents.

    When calling wait_agent, prefer longer waits (minutes) to avoid busy polling.

    There are 4 available concurrency slots, meaning that up to 4 agents can be active at once, including you.

    Full-history forks (fork_turns omitted or "all") inherit the parent mod

    … 264 more characters in the raw trajectory.

  3. 3systemmulti agent mode · Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub…

    multi agent mode

    Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub-agents unless the user or applicable AGENTS.md/skill instructions explicitly ask for sub-agents, delegation, or parallel agent work.

  4. 4userenvironment context · /workspace bash 2026-08-20 Etc/UTC /workspace

    environment context

    cwd
    /workspace
    shell
    bash
    current date
    2026-08-20
    timezone
    Etc/UTC
    root
    /workspace
  5. 5userYou are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue…

    You are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue before the early-afternoon scheduling huddle. The EHR migration left a mixed behavioral-health referral batch in the access desk: primary-care referrals, school and obstetric handoffs, ED and observation follow-ups, inpatient discharge follow-ups, and self-referrals. Using the attached access desk reference, referral export, signed care-coordination notes, and slot inventory, determine which clients need escalation before ordinary scheduling, which priority clients can be placed into eligible appointments, which priority clients remain unresolved because no eligible clinical slot can be reserved, and which contact restrictions must be carried forward for outreach.

    Work only from the attached materials. Treat the access desk reference/capacity rules as controlling for routing, slot eligibility, bridge outreach, payer carve-outs, language/modality requirements, and contact restrictions. Treat a signed care-coordination handoff as authoritative over the raw referral export only when it identifies the same client and is finalized within the 2026-05-29 09:30-11:40 CT batch-review window; ignore draft or unsigned notes. Do not treat raw triage bands as dispositions, do not infer diagnoses, do not recommend medications, and do not invent appointment capacity. Do not use blocked, tentative, held, or QA-release-pending slots. Do not override payer, telehealth, language, guardian/caregiver authority, or collateral-contact restrictions. When facts point to more than one pathway, use the highest-action pathway supported by the attached rules and state any remaining scheduling or contact constraint.

    Produce exactly two deliverables in /workspace/output/:

    • access_reconciliation_memo.docx - a structured memo for the urgent-access lead summarizing the escalation queue, slot reservations, unresolved priority cases, bridge-outreach needs, and protected-conta

    … 404 more characters in the raw trajectory.

  6. 6I’m using the Word and spreadsheet skills because the requested deliverables are a formatted memo and an operational wor…

    I’m using the Word and spreadsheet skills because the requested deliverables are a formatted memo and an operational workbook. I’ll first inventory the source files and apply the timing/authority and slot-eligibility rules, then build and validate exactly the two requested outputs.

  7. 7exec1

    Tool execution only — no assistant text

    execconst p = await tools.update_plan({plan:[ {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"in_progress"}, {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"pending"}, {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"pending"}, {step:"Create the memo and workbook in /workspace/output",status:"pending"}, {step:"Validate content, formatting, calculations, and exact output-file count",status:"pending"} ]})22k chars

    Arguments

    const p = await tools.update_plan({plan:[
      {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"in_progress"},
      {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"pending"},
      {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"pending"},
      {step:"Create the memo and workbook in /workspace/output",status:"pending"},
      {step:"Validate content, formatting, calculations, and exact output-file count",status:"pending"}
    ]})

    … 389 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    
    /workspace
    ./data/slot_inventory_and_roster.xlsx
    ./data/signed_clinical_handoff_packet.docx
    ./data/referral_batch_export.xlsx
    ./data/access_services_rules_cutover_queue.pdf
      590 /root/.agents/skills/docx/SKILL.md
      291 /root/.agents/skills/xlsx/SKILL.md
      881 total
    ---
    name: docx
    description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks

    … 20,603 more characters of output in the raw trajectory.

  8. 8The controlling reference is a PDF, so I’m also applying the PDF skill for faithful extraction of the access rules. I’m…

    The controlling reference is a PDF, so I’m also applying the PDF skill for faithful extraction of the access rules. I’m finishing the required skill read-throughs before touching the case data.

  9. 9Shell1

    Tool execution only — no assistant text

    Shellvia exec31k chars

    Arguments

    const r = await tools.exec_command({cmd:"sed -n '1,220p' /root/.agents/skills/docx/SKILL.md && sed -n '221,440p' /root/.agents/skills/docx/SKILL.md && sed -n '441,680p' /root/.agents/skills/docx/SKILL.md && wc -l /root/.agents/skills/pdf/SKILL.md && sed -n '1,260p' /root/.agents/skills/pdf/SKILL.md && sed -n '261,620p' /root/.agents/skills/pdf/SKILL.md && tail -n 40 /root/.agents/skills/xlsx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":60000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    
    ---
    name: docx
    description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks for a 'report', 'memo', 'letter', 'template', or similar deliverable as a Word or .docx file, use this skill. Do NOT use for PDFs, spreadsheets, Google Docs, or general coding tasks unrelated to document generation."
    license: Proprietary. LICENSE.txt has complete t

    … 30,016 more characters of output in the raw trajectory.

  10. 10exec1

    Tool execution only — no assistant text

    execconst p = await tools.update_plan({explanation:"The required skill instructions are complete; I’m moving into source extraction and authority checks.",plan:[ {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"}, {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"in_progress"}, {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"pending"}, {step:"Create the memo and workbook in /workspace/output",status:"p25k chars

    Arguments

    const p = await tools.update_plan({explanation:"The required skill instructions are complete; I’m moving into source extraction and authority checks.",plan:[
      {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"},
      {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"in_progress"},
      {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"pending"},
      {step:"Create the memo and workbook in /workspace/output",status:"p

    … 1,251 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 2.2 seconds
    Output:
    
    /workspace/data:
    total 72K
    -rw-r--r-- 1 root root 7.7K Aug 19 23:32 access_services_rules_cutover_queue.pdf
    -rw-r--r-- 1 root root  13K Aug 19 23:32 referral_batch_export.xlsx
    -rw-r--r-- 1 root root  40K Aug 19 23:32 signed_clinical_handoff_packet.docx
    -rw-r--r-- 1 root root  11K Aug 19 23:32 slot_inventory_and_roster.xlsx
    Title:           (anonymous)
    Subject:         (unspecified)
    Keywords:        
    Author:          (anonymous)
    Creator:         (unspecified)
    Producer:        ReportLab PDF Library - (opensource)
    CreationDate:    Mon Jun  8 23:50:49 2026 UTC
    ModDate:         Mon Jun  8 23:50:49 2026 UTC
    Custom Metadata: no
    Metadata Stream: no
    Tagged:          no
    UserProperties:  no
    Suspects:        no
    Form:            none
    JavaScript:      no
    Pages:           2
    Encrypted:       no
    Page size:       612 x 792 pts (letter)
    Page rot:        0
    File si

    … 23,976 more characters of output in the raw trajectory.

  11. 11Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"find /root/.agents/skills/docx -maxdepth 3 -type f -printf '%p\\n' | sort\nunzip -l /workspace/data/signed_clinical_handoff_packet.docx | sed -n '1,200p'\ndocx2txt /workspace/data/signed_clinical_handoff_packet.docx - 2>/dev/null || true","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.1 seconds
    Output:
    
    /root/.agents/skills/docx/LICENSE.txt
    /root/.agents/skills/docx/SKILL.md
    /root/.agents/skills/docx/scripts/__init__.py
    /root/.agents/skills/docx/scripts/accept_changes.py
    /root/.agents/skills/docx/scripts/comment.py
    /root/.agents/skills/docx/scripts/office/pack.py
    /root/.agents/skills/docx/scripts/office/soffice.py
    /root/.agents/skills/docx/scripts/office/unpack.py
    /root/.agents/skills/docx/scripts/office/validate.py
    /root/.agents/skills/docx/scripts/templates/comments.xml
    /root/.agents/skills/docx/scripts/templates/commentsExtended.xml
    /root/.agents/skills/docx/scripts/templates/commentsExtensible.xml
    /root/.agents/skills/docx/scripts/templates/commentsIds.xml
    /root/.agents/skills/docx/scripts/templates/people.xml
    /bin/bash: line 2: unzip: command not found
    
  12. 12Shell1

    Tool execution only — no assistant text

    Shellvia exec3k chars

    Arguments

    const r = await tools.exec_command({cmd:"rm -rf /tmp/mbh_handoff_unpack && python /root/.agents/skills/docx/scripts/office/unpack.py /workspace/data/signed_clinical_handoff_packet.docx /tmp/mbh_handoff_unpack && find /tmp/mbh_handoff_unpack -maxdepth 3 -type f -printf '%p\\n' | sort | sed -n '1,200p'\npython - <<'PY'\nfrom lxml import etree\np='/tmp/mbh_handoff_unpack/word/document.xml'\nroot=etree.parse(p)\nns={'w':'http://schemas.openxmlformats.org/wordprocessingml/2006/main'}\nfor i,node in enumerate(root.xpath('//w:body/*', namespaces=ns),1):\n    tag=etree.QName(node).

    … 672 more characters of arguments in the raw trajectory.

    Output

    Script failed
    Wall time 0.0 seconds
    Output:
    
    Script error:
    exec_command failed for `/bin/bash -lc "rm -rf /tmp/mbh_handoff_unpack && python /root/.agents/skills/docx/scripts/office/unpack.py /workspace/data/signed_clinical_handoff_packet.docx /tmp/mbh_handoff_unpack && find /tmp/mbh_handoff_unpack -maxdepth 3 -type f -printf '%p\\n' | sort | sed -n '1,200p'
    python - <<'PY'
    from lxml import etree
    p='/tmp/mbh_handoff_unpack/word/document.xml'
    root=etree.parse(p)
    ns={'w':'http://schemas.openxmlformats.org/wordprocessingml/2006/main'}
    for i,node in enumerate(root.xpath('//w:body/*', namespaces=ns),1):
        tag=etree.QName(node).localname
        if tag=='p':
            texts=node.xpath('.//w:t/text() | .//w:delText/text()',namespaces=ns)
            if texts: print(f'P{i}: '+''.join(texts))
        elif tag=='tbl':
            print(f'TABLE{i}')
            for r,row in enumerate(node.xpath('./w:tr',

    … 1,662 more characters of output in the raw trajectory.

  13. 13Shell1

    Tool execution only — no assistant text

    Shellvia exec7k chars

    Arguments

    const r = await tools.exec_command({cmd:"handoff_tmp=$(mktemp -d /tmp/mbh-handoff-XXXXXX)\npython /root/.agents/skills/docx/scripts/office/unpack.py /workspace/data/signed_clinical_handoff_packet.docx \"$handoff_tmp\"\nprintf '%s\\n' \"$handoff_tmp\" > /tmp/mbh-handoff-lastdir\nfind \"$handoff_tmp\" -maxdepth 3 -type f -printf '%p\\n' | sort | sed -n '1,200p'\nHANDOFF_TMP=\"$handoff_tmp\" python - <<'PY'\nfrom lxml import etree\nimport os\np=os.path.join(os.environ['HANDOFF_TMP'],'word','document.xml')\nroot=etree.parse(p)\nns={'w':'http://schemas.openxm

    … 812 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 1.2 seconds
    Output:
    
    Unpacked /workspace/data/signed_clinical_handoff_packet.docx (17 XML files), simplified 0 tracked changes, merged 0 runs
    /tmp/mbh-handoff-13XYRU/[Content_Types].xml
    /tmp/mbh-handoff-13XYRU/_rels/.rels
    /tmp/mbh-handoff-13XYRU/customXml/_rels/item1.xml.rels
    /tmp/mbh-handoff-13XYRU/customXml/item1.xml
    /tmp/mbh-handoff-13XYRU/customXml/itemProps1.xml
    /tmp/mbh-handoff-13XYRU/docProps/app.xml
    /tmp/mbh-handoff-13XYRU/docProps/core.xml
    /tmp/mbh-handoff-13XYRU/docProps/thumbnail.jpeg
    /tmp/mbh-handoff-13XYRU/word/_rels/document.xml.rels
    /tmp/mbh-handoff-13XYRU/word/document.xml
    /tmp/mbh-handoff-13XYRU/word/fontTable.xml
    /tmp/mbh-handoff-13XYRU/word/footer1.xml
    /tmp/mbh-handoff-13XYRU/word/numbering.xml
    /tmp/mbh-handoff-13XYRU/word/settings.xml
    /tmp/mbh-handoff-13XYRU/word/styles.xml
    /tmp/mbh-handoff-13XYRU/word/stylesWithEffects.xml
    /tmp/mbh-handoff-13XYRU/word/

    … 6,039 more characters of output in the raw trajectory.

  14. 14The case-level reconciliation is now clear: 1 crisis transfer, 4 same-day reviews, 7 priority-access cases, and 4 routin…

    The case-level reconciliation is now clear: 1 crisis transfer, 4 same-day reviews, 7 priority-access cases, and 4 routine/waitlist cases. I’m validating the exact slot allocation now, including two priority cases that remain unresolved because the only apparent options fail language/payer or guardian-authority rules.

  15. 15Shell1

    Tool execution only — no assistant text

    Shellvia exec2k chars

    Arguments

    const r = await tools.exec_command({cmd:"node -e \"const d=require('docx'); console.log(d.Document ? 'docx-js available' : 'missing')\"\npython - <<'PY'\nfrom openpyxl import load_workbook\nfor p in ['/workspace/data/referral_batch_export.xlsx','/workspace/data/slot_inventory_and_roster.xlsx']:\n    wb=load_workbook(p, data_only=False)\n    print(p)\n    print('defined names', list(wb.defined_names))\n    print('external links', len(getattr(wb,'_external_links',[])))\n    for ws in wb.worksheets:\n        formulas=[c.coordinate for row in ws.iter_rows() for c in row if

    … 527 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.9 seconds
    Output:
    
    node:internal/modules/cjs/loader:1433
      throw err;
      ^
    
    Error: Cannot find module 'docx'
    Require stack:
    - /workspace/[eval]
        at Function._resolveFilename (node:internal/modules/cjs/loader:1430:15)
        at defaultResolveImpl (node:internal/modules/cjs/loader:1040:19)
        at resolveForCJSWithHooks (node:internal/modules/cjs/loader:1045:22)
        at Function._load (node:internal/modules/cjs/loader:1216:25)
        at wrapModuleLoad (node:internal/modules/cjs/loader:254:19)
        at Module.require (node:internal/modules/cjs/loader:1527:12)
        at require (node:internal/modules/helpers:147:16)
        at [eval]:1:9
        at runScriptInThisContext (node:internal/vm:209:10)
        at node:internal/process/execution:446:12 {
      code: 'MODULE_NOT_FOUND',
      requireStack: [ '/workspace/[eval]' ]
    }
    
    Node.js v22.23.2
    /workspace/data/referral_batch_export.xlsx
    defined names [

    … 543 more characters of output in the raw trajectory.

  16. 16The Word-generation library specified by the document skill is not installed in this workspace. I’m installing that tool…

    The Word-generation library specified by the document skill is not installed in this workspace. I’m installing that tooling only; it does not introduce any outside case information or change the source materials.

  17. 17Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"npm install -g docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000});
    text(r.output);
    if(r.session_id) text(JSON.stringify({session_id:r.session_id}));
    

    Output

    Script completed
    Wall time 2.0 seconds
    Output:
    
    
    added 22 packages in 2s
    
    1 package is looking for funding
      run `npm fund` for details
    
  18. 18exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Add File: build_access_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+import json\n+\n+from openpyxl import Workbook, load_workbook\n+from openpyxl.comments import Comment\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+from openpyxl.worksheet.datavalidation import DataValidation\n+from openpyxl.workbook.properties import CalcProperties\n+\n+\n+ROOT = Path(\"/workspace\"

    Arguments

    const patch = "*** Begin Patch\n*** Add File: build_access_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+import json\n+\n+from openpyxl import Workbook, load_workbook\n+from openpyxl.comments import Comment\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+from openpyxl.worksheet.datavalidation import DataValidation\n+from openpyxl.workbook.properties import CalcProperties\n+\n+\n+ROOT = Path(\"/workspace\"

    … 52,902 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  19. 19Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"ls -l /workspace/build_access_workbook.py && python -m py_compile /workspace/build_access_workbook.py","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.3 seconds
    Output:
    
    -rw-r--r-- 1 root root 44869 Aug 20 02:44 /workspace/build_access_workbook.py
    
  20. 20Shell1

    Tool execution only — no assistant text

    Shellvia exec1k chars

    Arguments

    const r = await tools.exec_command({cmd:"node -e \"console.log(require('docx').Document ? 'ok' : 'bad')\" || NODE_PATH=$(npm root -g) node -e \"console.log(require('docx').Document ? 'ok-global' : 'bad')\"\npython /workspace/build_access_workbook.py\nls -lh /workspace/output/routing_reconciliation_workbook.xlsx /tmp/mbh_access_reconciliation_data.json","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000});
    text(r.output);
    

    Output

    Script completed
    Wall time 1.6 seconds
    Output:
    
    node:internal/modules/cjs/loader:1433
      throw err;
      ^
    
    Error: Cannot find module 'docx'
    Require stack:
    - /workspace/[eval]
        at Function._resolveFilename (node:internal/modules/cjs/loader:1430:15)
        at defaultResolveImpl (node:internal/modules/cjs/loader:1040:19)
        at resolveForCJSWithHooks (node:internal/modules/cjs/loader:1045:22)
        at Function._load (node:internal/modules/cjs/loader:1216:25)
        at wrapModuleLoad (node:internal/modules/cjs/loader:254:19)
        at Module.require (node:internal/modules/cjs/loader:1527:12)
        at require (node:internal/modules/helpers:147:16)
        at [eval]:1:13
        at runScriptInThisContext (node:internal/vm:209:10)
        at node:internal/process/execution:446:12 {
      code: 'MODULE_NOT_FOUND',
      requireStack: [ '/workspace/[eval]' ]
    }
    
    Node.js v22.23.2
    ok-global
    -rw-r--r-- 1 root root 19K Aug 20 02:44 /tmp/mb

    … 134 more characters of output in the raw trajectory.

  21. 21exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Add File: build_access_memo.js\n+const fs = require(\"fs\");\n+const {\n+ Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,\n+ Header, Footer, AlignmentType, HeadingLevel, BorderStyle, WidthType,\n+ ShadingType, VerticalAlign, PageNumber, PageBreak, LevelFormat,\n+ TabStopType, TabStopPosition,\n+} = require(\"docx\");\n+\n+const data = JSON.parse(fs.readFileSync(\"/tmp/mbh_access_reconciliation_data.json\", \"utf8\"));\n+const D = data.decisions;\n+\n+const C = {\n+ navy: \"173B45\", teal: \

    Arguments

    const patch = "*** Begin Patch\n*** Add File: build_access_memo.js\n+const fs = require(\"fs\");\n+const {\n+  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,\n+  Header, Footer, AlignmentType, HeadingLevel, BorderStyle, WidthType,\n+  ShadingType, VerticalAlign, PageNumber, PageBreak, LevelFormat,\n+  TabStopType, TabStopPosition,\n+} = require(\"docx\");\n+\n+const data = JSON.parse(fs.readFileSync(\"/tmp/mbh_access_reconciliation_data.json\", \"utf8\"));\n+const D = data.decisions;\n+\n+const C = {\n+  navy: \"173B45\", teal: \

    … 18,973 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  22. 22exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n- return [dateTime(d.scheduled_start), d.slot, cid, `${d.program}\\n${d.site}`, `${d.modality}\\n${d.minutes} min`, control];\n+ return [dateTime(d.scheduled_start), d.slot, cid, [d.program, d.site], [d.modality, `${d.minutes} min`], control];\n*** End Patch"; text(await tools.apply_patch(patch));

    Arguments

    const patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n-  return [dateTime(d.scheduled_start), d.slot, cid, `${d.program}\\n${d.site}`, `${d.modality}\\n${d.minutes} min`, control];\n+  return [dateTime(d.scheduled_start), d.slot, cid, [d.program, d.site], [d.modality, `${d.minutes} min`], control];\n*** End Patch";
    text(await tools.apply_patch(patch));
    

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  23. 23Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"rg -n '\\\\n' /workspace/build_access_memo.js || true\nNODE_PATH=$(npm root -g) node --check /workspace/build_access_memo.js\nNODE_PATH=$(npm root -g) node /workspace/build_access_memo.js\nls -lh /workspace/output","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.7 seconds
    Output:
    
    total 52K
    -rw-r--r-- 1 root root 18K Aug 20 02:45 access_reconciliation_memo.docx
    -rw-r--r-- 1 root root 29K Aug 20 02:44 routing_reconciliation_workbook.xlsx
    
  24. 24The reconciled reservations are complete: all four same-day specialty matches are usable, five priority appointments are…

    The reconciled reservations are complete: all four same-day specialty matches are usable, five priority appointments are eligible, and the two unresolved priority cases remain blocked by controlling rules—not by lack of review. I’ve generated both deliverables and am now recalculating the workbook and rendering/inspecting the memo for structural and visual defects.

  25. 25exec1

    Tool execution only — no assistant text

    execconst p = await tools.update_plan({explanation:"Source extraction and client-level reconciliation are complete; both deliverables are generated and entering validation.",plan:[ {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"}, {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"completed"}, {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"completed"}, {step:"Create the memo and workbook in /workspace/1k chars

    Arguments

    const p = await tools.update_plan({explanation:"Source extraction and client-level reconciliation are complete; both deliverables are generated and entering validation.",plan:[
      {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"},
      {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"completed"},
      {step:"Reconcile each client’s routing, slot eligibility, bridge outreach, and contact restrictions",status:"completed"},
      {step:"Create the memo and workbook in /workspace/

    … 660 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 6.1 seconds
    Output:
    
    /root/.agents/skills/xlsx/LICENSE.txt
    /root/.agents/skills/xlsx/SKILL.md
    /root/.agents/skills/xlsx/scripts/office/helpers/__init__.py
    /root/.agents/skills/xlsx/scripts/office/helpers/merge_runs.py
    /root/.agents/skills/xlsx/scripts/office/helpers/simplify_redlines.py
    /root/.agents/skills/xlsx/scripts/office/pack.py
    /root/.agents/skills/xlsx/scripts/office/soffice.py
    /root/.agents/skills/xlsx/scripts/office/unpack.py
    /root/.agents/skills/xlsx/scripts/office/validate.py
    /root/.agents/skills/xlsx/scripts/office/validators/__init__.py
    /root/.agents/skills/xlsx/scripts/office/validators/base.py
    /root/.agents/skills/xlsx/scripts/office/validators/docx.py
    /root/.agents/skills/xlsx/scripts/office/validators/pptx.py
    /root/.agents/skills/xlsx/scripts/office/validators/redlining.py
    /root/.agents/skills/xlsx/scripts/recalc.py
    
    Paragraphs: 0 → 220 (+220)
    All validat

    … 117 more characters of output in the raw trajectory.

  26. 26Shell1

    Tool execution only — no assistant text

    Shellvia exec41k chars

    Arguments

    const r = await tools.exec_command({cmd:"render_tmp=$(mktemp -d /tmp/mbh-render-XXXXXX)\nprintf '%s\\n' \"$render_tmp\" > /tmp/mbh-render-lastdir\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_tmp\" /workspace/output/access_reconciliation_memo.docx\npython /root/.agents/skills/xlsx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_tmp\" /workspace/output/routing_reconciliation_workbook.xlsx\npdfinfo \"$render_tmp/access_reconciliation_memo.pdf\"\npdfinfo \"$render_tmp/routing_

    … 876 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 5.1 seconds
    Output:
    
    Warning: truncated output (original token count: 14454)
    Total output lines: 542
    
    Warning: failed to launch javaldx - java may not function correctly
    convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh-render-Nzjwyg/access_reconciliation_memo.pdf using filter : writer_pdf_Export
    Warning: failed to launch javaldx - java may not function correctly
    convert /workspace/output/routing_reconciliation_workbook.xlsx as a Calc document -> /tmp/mbh-render-Nzjwyg/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export
    Title:           Meadowbrook Friday Cutover Queue Reconciliation
    Subject:         Urgent-access routing, reservations, unresolved priority cases, bridge outreach, and protected contact
    Author:          OpenAI
    Creator:         Writer
    Producer:        LibreOffice 25.2.3.2 (X86_64) / LibreOffice Community
    Crea

    … 39,617 more characters of output in the raw trajectory.

  27. 27Shell1

    Tool execution only — no assistant text

    Shellvia exec1.4M chars

    Arguments

    const dir = (await tools.exec_command({cmd:"cat /tmp/mbh-render-lastdir","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":1000})).output.trim();
    for (const f of ["memo-page-1.png","memo-page-3.png","memo-page-5.png","memo-page-6.png","memo-page-7.png","workbook-page-1.png","workbook-page-2.png","workbook-page-3.png"]) {
      const v = await tools.view_image({path:`${dir}/${f}`,detail:"original"});
      image(v.image_url);
    }
    

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    

    … 1,431,750 more characters of output in the raw trajectory.

  28. 28The first render is accurate, but I found a few presentation defects: identifier columns were wrapping at hyphens, one m…

    The first render is accurate, but I found a few presentation defects: identifier columns were wrapping at hyphens, one memo label split across lines, and forced page breaks created sparse continuation pages. I’m tightening the memo layout and re-rendering it; the workbook’s formulas and counts already validate cleanly.

  29. 29exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n function cell(content, width, opts = {}) {\n const children = Array.isArray(content)\n- ? content.map(x => x instanceof Paragraph ? x : p(x, { spacing: { after: 40, line: 230 } }))\n- : [p(content, { spacing: { after: 40, line: 230 } })];\n+ ? content.map(x => x instanceof Paragraph ? x : p(x, { run: { size: 18 }, spacing: { after: 35, line: 215 } }))\n+ : [p(content, { run: { size: 18 }, spacing: { after: 35, line: 215 } })];\n+ const autoNoWrap = typeof content === \"string\" &&

    Arguments

    const patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n function cell(content, width, opts = {}) {\n   const children = Array.isArray(content)\n-    ? content.map(x => x instanceof Paragraph ? x : p(x, { spacing: { after: 40, line: 230 } }))\n-    : [p(content, { spacing: { after: 40, line: 230 } })];\n+    ? content.map(x => x instanceof Paragraph ? x : p(x, { run: { size: 18 }, spacing: { after: 35, line: 215 } }))\n+    : [p(content, { run: { size: 18 }, spacing: { after: 35, line: 215 } })];\n+  const autoNoWrap = typeof content === \"string\" &&

    … 2,495 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  30. 30Shell1

    Tool execution only — no assistant text

    Shellvia exec20k chars

    Arguments

    const r = await tools.exec_command({cmd:"NODE_PATH=$(npm root -g) node /workspace/build_access_memo.js\npython /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx\nrender_tmp=$(mktemp -d /tmp/mbh-render2-XXXXXX)\nprintf '%s\\n' \"$render_tmp\" > /tmp/mbh-render2-lastdir\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_tmp\" /workspace/output/access_reconciliation_memo.docx\npdfinfo \"$render_tmp/access_reconciliation_memo.pdf\" | sed -n '1,30p'\npdftotext

    … 520 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 4.7 seconds
    Output:
    
    
    Paragraphs: 0 → 217 (+217)
    All validations PASSED!
    Warning: failed to launch javaldx - java may not function correctly
    convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh-render2-nH8Ycp/access_reconciliation_memo.pdf using filter : writer_pdf_Export
    Title:           Meadowbrook Friday Cutover Queue Reconciliation
    Subject:         Urgent-access routing, reservations, unresolved priority cases, bridge outreach, and protected contact
    Author:          OpenAI
    Creator:         Writer
    Producer:        LibreOffice 25.2.3.2 (X86_64) / LibreOffice Community
    CreationDate:    Thu Aug 20 02:47:05 2026 UTC
    Custom Metadata: no
    Metadata Stream: yes
    Tagged:          yes
    UserProperties:  no
    Suspects:        no
    Form:            none
    JavaScript:      no
    Pages:           5
    Encrypted:       no
    Page size:       612 x 792 pts (letter

    … 18,900 more characters of output in the raw trajectory.

  31. 31Shell1

    Tool execution only — no assistant text

    Shellvia exec1.3M chars

    Arguments

    const dir=(await tools.exec_command({cmd:"cat /tmp/mbh-render2-lastdir","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":1000})).output.trim();
    for (const f of ["memo-page-1.png","memo-page-2.png","memo-page-3.png","memo-page-4.png","memo-page-5.png"]) {
     const v=await tools.view_image({path:`${dir}/${f}`,detail:"original"}); image(v.image_url);
    }
    

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    

    … 1,322,352 more characters of output in the raw trajectory.

  32. 32exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n function bullet(text, level = 0) {\n return new Paragraph({\n numbering: { reference: \"memo-bullets\", level },\n- children: [t(text, { size: 20 })],\n- spacing: { after: 70, line: 250 },\n+ children: [t(text, { size: 18 })],\n+ spacing: { after: 45, line: 220 },\n@@\n children.push(heading(\"Controls applied\", 1));\n-children.push(bullet(\"The access desk reference controls routing, capacity, bridge outreach, payer carve-outs, language/modality, guardian/caregiver a

    Arguments

    const patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n function bullet(text, level = 0) {\n   return new Paragraph({\n     numbering: { reference: \"memo-bullets\", level },\n-    children: [t(text, { size: 20 })],\n-    spacing: { after: 70, line: 250 },\n+    children: [t(text, { size: 18 })],\n+    spacing: { after: 45, line: 220 },\n@@\n children.push(heading(\"Controls applied\", 1));\n-children.push(bullet(\"The access desk reference controls routing, capacity, bridge outreach, payer carve-outs, language/modality, guardian/caregiver a

    … 1,439 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  33. 33Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"NODE_PATH=$(npm root -g) node /workspace/build_access_memo.js\npython /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx\nrender_tmp=$(mktemp -d /tmp/mbh-render3-XXXXXX)\nprintf '%s\\n' \"$render_tmp\" > /tmp/mbh-render3-lastdir\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_tmp\" /workspace/output/access_reconciliation_memo.docx\npdfinfo \"$render_tmp/access_reconciliation_memo.pdf\" | rg 'Pages|Page size|File si

    … 322 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 3.8 seconds
    Output:
    
    
    Paragraphs: 0 → 214 (+214)
    All validations PASSED!
    Warning: failed to launch javaldx - java may not function correctly
    convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh-render3-QwsjnL/access_reconciliation_memo.pdf using filter : writer_pdf_Export
    Pages:           4
    Page size:       612 x 792 pts (letter)
    File size:       140731 bytes
    memo-page-1.png 216 KB
    memo-page-2.png 236 KB
    memo-page-3.png 240 KB
    memo-page-4.png 244 KB
    
  34. 34Shell1

    Tool execution only — no assistant text

    Shellvia exec620k chars

    Arguments

    const dir=(await tools.exec_command({cmd:"cat /tmp/mbh-render3-lastdir","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":1000})).output.trim();
    for (const f of ["memo-page-1.png","memo-page-4.png"]) { const v=await tools.view_image({path:`${dir}/${f}`,detail:"original"}); image(v.image_url); }
    

    Output

    Script completed
    Wall time 0.1 seconds
    Output:
    

    … 618,582 more characters of output in the raw trajectory.

  35. 35exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n- [\"Rank\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n+ [\"#\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n*** End Patch"; text(await tools.apply_patch(patch));

    Arguments

    const patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n-  [\"Rank\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n+  [\"#\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n*** End Patch";
    text(await tools.apply_patch(patch));
    

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  36. 36Shell1

    Tool execution only — no assistant text

    Shellvia exec4k chars

    Arguments

    const r = await tools.exec_command({cmd:"NODE_PATH=$(npm root -g) node /workspace/build_access_memo.js\npython /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx\npython /root/.agents/skills/xlsx/scripts/recalc.py /workspace/output/routing_reconciliation_workbook.xlsx 60\npython - <<'PY'\nfrom openpyxl import load_workbook\nfrom pathlib import Path\np=Path('/workspace/output/routing_reconciliation_workbook.xlsx')\nwbv=load_workbook(p,data_only=True)\nwbf=load_workbook(p,data_only=False)\nsummary=wbv['Summary']\nchecks={\

    … 3,294 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 6.5 seconds
    Output:
    
    
    Paragraphs: 0 → 214 (+214)
    All validations PASSED!
    {
      "status": "success",
      "total_errors": 0,
      "error_summary": {},
      "total_formulas": 43
    }
    summary {'clients': 16, 'escalation': 5, 'crisis': 1, 'same_day': 4, 'priority': 7, 'routine': 4, 'reserved': 9, 'minutes': 480, 'unresolved': 2, 'bridge': 4, 'restricted': 4}
    formula_errors []
    sheets ['Summary', 'Client Routing', 'Slot Decisions', 'Bridge Queue', 'Protected Contacts', 'Control Notes']
    formulas 43
    Warning: failed to launch javaldx - java may not function correctly
    Pages:           4
    Page size:       612 x 792 pts (letter)
    8:Friday Cutover Queue Reconciliation
    21:appointments are reserved for 480 clinical minutes. Two priority clients remain unresolved because
    38: 1         BH-J4K9     Crisis transfer     Current intent to act tonight;        Mobile-crisis wa

    … 2,851 more characters of output in the raw trajectory.

  37. 37exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Delete File: build_access_workbook.py\n*** Delete File: build_access_memo.js\n*** End Patch"; text(await tools.apply_patch(patch));

    Arguments

    const patch = "*** Begin Patch\n*** Delete File: build_access_workbook.py\n*** Delete File: build_access_memo.js\n*** End Patch";
    text(await tools.apply_patch(patch));
    

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  38. 38Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"find /workspace -maxdepth 2 -type f -printf '%p\\n' | sort\nfind /workspace/output -mindepth 1 -maxdepth 1 -printf '%f\\n' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    
    /workspace/__pycache__/build_access_workbook.cpython-311.pyc
    /workspace/data/access_services_rules_cutover_queue.pdf
    /workspace/data/referral_batch_export.xlsx
    /workspace/data/signed_clinical_handoff_packet.docx
    /workspace/data/slot_inventory_and_roster.xlsx
    /workspace/output/access_reconciliation_memo.docx
    /workspace/output/routing_reconciliation_workbook.xlsx
    access_reconciliation_memo.docx
    routing_reconciliation_workbook.xlsx
    
  39. 39Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({cmd:"unlink /workspace/__pycache__/build_access_workbook.cpython-311.pyc\nrmdir /workspace/__pycache__\nfind /workspace/output -mindepth 1 -maxdepth 1 -type f -printf '%f %s bytes\\n' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000});
    text(r.output);
    

    Output

    Script completed
    Wall time 0.1 seconds
    Output:
    
    access_reconciliation_memo.docx 17809 bytes
    routing_reconciliation_workbook.xlsx 35144 bytes
    
  40. 40exec1

    Tool execution only — no assistant text

    execconst r = await tools.update_plan({explanation:"Both requested files passed structural validation; the workbook recalculated with zero formula errors, the memo rendered cleanly to four US-Letter pages, and /workspace/output contains exactly the two requested deliverables.",plan:[ {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"}, {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"completed"}, {step:"Reconcile each client’s routing, slot eligibility, bridge outreach,

    Arguments

    const r = await tools.update_plan({explanation:"Both requested files passed structural validation; the workbook recalculated with zero formula errors, the memo rendered cleanly to four US-Letter pages, and /workspace/output contains exactly the two requested deliverables.",plan:[
      {step:"Inventory source files and read the Word/spreadsheet skill instructions",status:"completed"},
      {step:"Extract controlling rules, finalized handoffs, referrals, and usable slot inventory",status:"completed"},
      {step:"Reconcile each client’s routing, slot eligibility, bridge outreach,

    … 262 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  41. 41Completed and validated exactly two deliverables: - [Access reconciliation memo](/workspace/output/access_reconciliation…

    Completed and validated exactly two deliverables:

    • Access reconciliation memo
    • Routing reconciliation workbook

    The workbook recalculates with zero formula errors; the memo passed structural and visual checks.

2 failure modes across 2 verifier failures

  1. 1Required Rationale or Authority Statement OmittedView on Failure Modes ↗Presentation and Communication1 failure

    Description

    Is the underlying decision correct or substantially present, but the memo fails to state a required rule hierarchy, source-governance principle, item-specific reason, signed-term basis, or operating condition?

    Failure evidence · per affected verifier

    • The memo never fully states the required signed-note-over-referral-export hierarchy for the 2026-05-29 review window, and does not explicitly name and exclude the unsigned HN-T9Y6-DRAFT note or confirm BH-T9Y6 was routed from the referral export.

  2. 2Off-Scope Advice AddedView on Failure Modes ↗Presentation and Communication1 failure

    Description

    With the requested reconciliation or analysis otherwise present, does the final communication add unrequested clinical, treatment, monitoring, referral, release, or operational workflow directives?

    Failure evidence · per affected verifier

    • The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.