task_53Health care and social assistance
All trialsGPT-5.6 SolcodexTrial 01
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 mattersThe escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.
How to passChecks whether the memo presents the correct ranked escalation queue and crisis handling.
Reads
memo_count_consistencyLLMPass
Why it mattersIncorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.
How to passChecks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.
Reads
unresolved_priorityLLMPass
Why it mattersUnresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.
How to passChecks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.
Reads
bridge_outreachLLMPass
Why it mattersBridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.
How to passChecks whether the memo applies the bridge-outreach rule to the correct clients.
Reads
slot_eligibilityLLMPass
Why it mattersSlot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.
How to passChecks 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 mattersThe operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.
How to passChecks whether the workbook provides complete client-level coverage for the full batch.
Reads
workbook_routing_accuracyLLMPass
Why it mattersClient-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.
How to passChecks whether the workbook records the correct routing pathway for every client.
Reads
workbook_slot_listLLMPass
Why it mattersOperations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.
How to passChecks 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 mattersCorrect 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 passChecks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.
Reads
workbook_outreachLLMPass
Why it mattersOperations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.
How to passChecks 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 mattersThe workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.
How to passChecks 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 mattersThese 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 passChecks whether the workbook correctly resolves the four routine/waitlist edge cases.
Reads
memo_protected_contactLLMPass
Why it mattersThe 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 passChecks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.
Reads
secondary (4)
source_hierarchyLLMFail
Why it mattersThe source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.
How to passChecks 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 failedThe 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 mattersThe deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.
How to passChecks whether the memo stays within access-routing scope rather than giving clinical treatment advice.
Reads
workbook_exclusionsLLMPass
Why it mattersA strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.
How to passChecks whether the workbook documents why tempting capacity was not usable for unresolved clients.
Reads
side_effectsLLMFail
Why it mattersThe 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 passChecks whether the memo avoids materially unsolicited operational side effects and extra artifact instructions.
Reads
Failure mode Off-Scope Advice Added
Why it failedThe 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
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.
Summary
| Friday Cutover Queue Reconciliation | |||
|---|---|---|---|
| Batch review: 2026-05-29 11:40 CT | Bridge threshold: 2026-06-01 11:40 CT | Administrative routing only | |||
| Operational snapshot | |||
| Clients reviewed | 4 | 5 | |
| 16 | 5 | 1 | |
| Same-day reviews | 7 | 8 | |
| 4 | 7 | 4 | |
| Reserved high-acuity slots | 10 | 11 | |
| 9 | 480 | 2 | |
| Bridge outreach | 13 | ||
| 4 | 4 | ||
| Decision controls | |||
| Authority | Signed, same-client handoffs finalized 2026-05-29 09:30–11:40 CT override the export; HN-T9Y6-DRAFT is ignored. | ||
| Escalation | Crisis first, then same-day Trigger A, B, C, D. Priority-only clients are not in the escalation queue. | ||
| Capacity | Only Open slots with blank hold_code are usable. No blocked, held, tentative, or QA-release-pending rows are reserved. | ||
| Bridge | Priority clients count if first clinical contact is after 2026-06-01 11:40 CT or no eligible slot exists; all stable SUD priority cases count. | ||
| Contact | Protected collateral, guardian/caregiver authority, language, modality, telehealth-consent, payer, and site constraints remain binding. | ||
| Action sheets | |||
| Client Routing | Complete 16-client decision ledger, reservations, bridge flags, unresolved constraints, and protected contact caveats. | ||
| Slot Decisions | All inventory rows with policy availability, evaluated client, reservation decision, and counted clinical minutes. | ||
| Bridge Queue | Four priority clients requiring bridge outreach. | ||
| Protected Contacts | Four clients whose collateral/contact restrictions must be carried forward. | ||
| Control Notes | Source hierarchy and controlling routing/capacity rules used for this reconciliation. |
Client Routing
| Client-Level Routing Decisions | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Policy-ranked escalation first; priority and routine cases follow. Raw triage bands were not used as dispositions. | ||||||||||||||||||||||||
| One row per client — filtered operations ledger | ||||||||||||||||||||||||
| client_id | intake_ts_ct | source | age | payer_plan | preferred_site | clinical_language | final_pathway | escalation_rank | authoritative_source | controlling_facts | pathway_basis | reserved_slot_id | reservation_status | bridge_outreach | bridge_reason | unresolved_priority | unresolved_constraint | restricted_contact | protected_contact_caveat | routing_constraints | scheduled_start_ct | program | modality | minutes |
| BH-J4K9 | 46171.3805555556 | ED callback | 34 | Riverbend Medicaid MCO | East | English | Crisis transfer | 1 | Signed handoff HN-J4K9 — 2026-05-29 11:18 CT | Current intent to act tonight; medication stockpile is accessible; medically attended self-harm on 2026-05-27; mobile-crisis warm transfer accepted. | Current intent plus accessible means; crisis disposition overrides outpatient scheduling. | 73 | No | Crisis transfers are excluded from bridge-outreach counts until post-crisis disposition is known. | No | Await post-crisis disposition before any outpatient placement. | Yes | Contact client only; do not use ordinary collateral outreach. | No outpatient slot. Carry client-only contact restriction. | |||||
| BH-C3T8 | 46171.3868055556 | Primary care warm handoff | 47 | Riverbend Medicaid MCO | East | English | Same-day clinician review | 2 | Signed handoff HN-C3T8 — 2026-05-29 10:02 CT | Current death/self-harm thoughts; medication method/means considered 18 days ago and supply remains available; no safety plan documented; no current intent. | Trigger A — current thoughts plus method/means considered within 30 days and no documented safety plan. | S-ASR-3P1 | Reserved | No | Same-day review clients are excluded from bridge-outreach counts. | No | None after matched adult-safety reservation. | No | No protected-collateral restriction documented. | East, adult safety, Riverbend, English, in-person. | 46171.6319444445 | Adult Safety Review | In-person | 45 |
| BH-P8A4 | 46171.3708333333 | School referral | 16 | Riverbend Medicaid MCO | North | English | Same-day clinician review | 3 | Signed handoff HN-P8A4 — 2026-05-29 10:41 CT | Age 16; cutting six days ago; current death/self-harm thoughts; guardian phone/authority not verified. | Trigger B — client under 18 with self-injury within 14 days and current death/self-harm thoughts. | S-YSF-A7Q | Reserved | No | Same-day review clients are excluded from bridge-outreach counts. | No | Guardian verification remains required before any later youth therapy intake. | Yes | Do not treat the unverified guardian as authorized; school counselor may receive scheduling status only. | North youth-safety slot; Riverbend; English; in-person. Guardian verification may remain pending for the safety review only. | 46171.5451388889 | Youth Safety Review | In-person | 45 |
| BH-M2N7 | 46171.3979166667 | Self referral | 22 | Self-pay | East | English | Same-day clinician review | 4 | Signed handoff HN-M2N7 — 2026-05-29 10:36 CT | Active voice commands client to step into traffic; client denies intent and accessible vehicle/weapon/means; clinician did not initiate crisis transfer. | Trigger C — active command hallucination to harm without intent or accessible means. | S-PSY-9D2 | Reserved | No | Same-day review clients are excluded from bridge-outreach counts. | No | None after matched psychosis-safety reservation. | No | No protected-collateral restriction documented. | East psychosis safety; self-pay; English; in-person. | 46171.5625 | Psychosis Safety Review | In-person | 45 |
| BH-L0R6 | 46171.4041666667 | OB clinic | 29 | Riverbend Medicaid MCO | Central | Spanish | Same-day clinician review | 5 | Signed handoff HN-L0R6 — 2026-05-29 10:58 CT | Eight weeks postpartum; intrusive infant-harm images; sleep averages 2.5 hours/night; reliable support not confirmed; no intent; Spanish required. | Trigger D — perinatal intrusive-harm thoughts with sleep at or below three hours and no confirmed reliable support. | S-PERI-2B | Reserved | No | Same-day review clients are excluded from bridge-outreach counts. | No | Spanish clinical contact and protected partner restriction must be maintained. | Yes | Do not contact partner; outreach may be to client directly or OB social work only. | Central perinatal rapid review; Riverbend; Spanish; telehealth consent signed. | 46171.5972222222 | Perinatal Rapid Review | Telehealth | 45 |
| BH-X1D5 | 46171.4138888889 | Inpatient discharge planning | 41 | Riverbend Medicaid MCO | East | English | Priority access | 130 | Psychiatric inpatient discharge on 2026-05-24; safety plan on file; no current intent. | Psychiatric inpatient discharge within seven calendar days of batch review. | P-PDT-6N4 | Reserved | No | First clinical contact occurs before 2026-06-01 11:40 CT. | No | None after matched post-discharge reservation. | No | No protected-collateral restriction documented. | East post-discharge transition; Riverbend; English; in-person. | 46173.4444444445 | Post-Discharge Transition | In-person | 60 | |
| BH-S5Q2 | 46171.4194444444 | Primary care warm handoff | 58 | Riverbend Medicaid MCO | West | Spanish | Priority access | 140 | Stable moderate alcohol withdrawal; not intoxicated; Spanish required for clinical care; Riverbend Medicaid. | Stable moderate substance-withdrawal presentation. | 143 | Yes | All stable moderate-withdrawal/SUD priority cases require bridge outreach; no eligible clinical appointment can be reserved. | Yes | Open P-SUD-1FZ is English-only and excludes Riverbend; Spanish/Riverbend P-SUD-7CX is on Hold with INTERPRETER-UNCONFIRMED. | No | No protected-collateral restriction documented. | Spanish-capable SUD clinical contact and Riverbend eligibility required; held interpreter capacity cannot be used. | ||||||
| BH-R6W8 | 46171.4277777778 | Self referral | 37 | CedarCare Medicaid | East | English | Priority access | 149 | GAD-7 19 with severe homebound panic; no active behavioral-health provider seen within 72 hours; telehealth consent confirmed. | GAD-7 at least 18 with severe functional impairment and no active provider seen within 72 hours. | P-ADT-K3M | Reserved | No | First clinical contact occurs before 2026-06-01 11:40 CT. | No | CedarCare carve-out still bars Central adult therapy; reservation uses eligible East capacity. | No | No protected-collateral restriction documented. | East adult therapy; CedarCare Medicaid; English; telehealth consent signed. | 46174.3888888889 | Adult Therapy Intake | Telehealth | 60 | |
| BH-E7V1 | 46171.4319444444 | School referral | 14 | Riverbend Medicaid MCO | North | English | Priority access | 157 | Age 14; self-injury about 21 days ago; no current self-harm thoughts; caregiver authority not verified. | Youth self-injury 15–30 days ago with no current self-harm thoughts. | 143 | Yes | No eligible clinical appointment can be reserved because guardian/caregiver authority is not verified. | Yes | P-YTH-H5L otherwise matches, but priority youth therapy requires verified guardian/caregiver authority. | Yes | No voicemail or details to stepfather; school counselor may receive scheduling status only; verify caregiver authority. | North youth therapy; Riverbend; English; in-person; verified guardian/caregiver authority required. | ||||||
| BH-Q2T0 | 46171.4368055556 | OB clinic | 31 | Riverbend Medicaid MCO | Central | English | Priority access | 165 | Five months postpartum; EPDS 17; sleep about five hours; reliable support available; no intrusive-harm content. | Perinatal EPDS at least 16 without a same-day perinatal trigger. | P-PER-F8Q | Reserved | Yes | First clinical contact is 2026-06-02 10:30 CT, after the bridge threshold. | No | Bridge outreach is needed before the reserved appointment. | No | No protected-collateral restriction documented. | Central perinatal follow-up; Riverbend; English; telehealth consent signed. | 46175.4375 | Perinatal Follow-Up | Telehealth | 60 | |
| BH-Z0B4 | 46171.4423611111 | Primary care referral | 52 | Northstar Select | West | English | Priority access | 176 | PHQ-9 22 with severe missed-work impairment; no active behavioral-health provider seen within 72 hours; Northstar Select. | PHQ-9 at least 20 with severe functional impairment and no active provider seen within 72 hours. | P-ADT-V4R | Reserved | Yes | First clinical contact is 2026-06-02 08:45 CT, after the bridge threshold. | No | Northstar Select excludes telehealth; bridge outreach is needed before the in-person appointment. | No | No protected-collateral restriction documented. | West adult therapy; Northstar Select; English; in-person only. | 46175.3645833333 | Adult Therapy Intake | In-person | 60 | |
| BH-T9Y6 | 46171.4465277778 | OB clinic | 30 | BlueChoice PPO | East | English | Priority access | 185 | Pregnant 24 weeks; GAD-7 19 with severe work impairment; no active provider seen within 72 hours; no same-day trigger in the export. | GAD-7 at least 18 with severe functional impairment and no active provider seen within 72 hours; unsigned draft cannot override. | P-ADT-TRI | Reserved | No | First clinical contact occurs before 2026-06-01 11:40 CT. | No | Draft correction remains ignored; route from the export facts. | No | No protected-collateral restriction documented. | East perinatal-competent adult intake; BlueChoice; English; telehealth consent signed. | 46174.4270833333 | Adult Therapy Intake | Telehealth | 60 | |
| BH-V9F3 | 46171.4520833333 | Primary care referral | 27 | Northstar Select | East | English | Routine / waitlist | 192 | Outside therapist seen at 08:15 on 2026-05-29; existing psychiatrist; safety plan reviewed; no current intent, psychosis, or withdrawal. | High score is covered by an active behavioral-health provider seen within 72 hours; no higher-action trigger. | 195 | No | Routine clients are excluded from bridge-outreach counts. | No | Avoid duplicative urgent access unless facts change. | No | No protected-collateral restriction documented. | Northstar Select remains in-person only if later scheduled from ordinary capacity. | ||||||
| BH-N4A1 | 46171.4576388889 | Primary care referral | 63 | Riverbend Medicaid MCO | Central | English | Routine / waitlist | 200 | Voice-hearing checkbox was tinnitus/progressive hearing loss; client denies hallucinations, command content, current intent, or recent self-harm. | No crisis, same-day, or priority criterion after signed clarification. | 195 | No | Routine clients are excluded from bridge-outreach counts. | No | No high-acuity capacity indicated. | No | No protected-collateral restriction documented. | Telehealth consent is not signed; apply ordinary payer/site rules if later scheduled. | ||||||
| BH-A8U2 | 46171.4631944444 | ED follow-up queue | 45 | Riverbend Medicaid MCO | East | English | Routine / waitlist | 207 | Urgent-care insomnia and non-behavioral ED encounters were misclassified; no behavioral-health ED visit remains; no current decompensation. | No crisis, same-day, or priority criterion; non-behavioral encounters do not elevate routing. | 195 | No | Routine clients are excluded from bridge-outreach counts. | No | No high-acuity capacity indicated. | No | No protected-collateral restriction documented. | Use ordinary East/Riverbend rules if later scheduled. | ||||||
| BH-D5H0 | 46171.4680555556 | ED observation follow-up | 19 | County Access Safety Net | West | English | Routine / waitlist | 214 | ED observation on 2026-05-21 did not convert to psychiatric inpatient admission; safety plan updated; no current intent or functional deterioration. | ED observation is not psychiatric inpatient discharge; no other higher-action criterion. | 195 | No | Routine clients are excluded from bridge-outreach counts. | No | County Access Safety Net is not eligible for routine or priority therapy in this inventory. | No | No protected-collateral restriction documented. | County Access Safety Net can use only same-day safety or post-crisis follow-up; neither pathway is supported here. |
Slot Decisions
| Slot Eligibility and Reservation Decisions | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Every inventory row is shown. Policy carve-outs override stale payer comments in the slot file. | ||||||||||||||||||
| Open/blank-hold gating, client matching, and reservation outcome | ||||||||||||||||||
| slot_id | start_ct | site | program | modality | minutes | slot_status | hold_code | policy_availability | age_band | accepted_plans | clinical_languages | evaluated_client | eligibility_or_reservation | assigned_client | decision_rationale | high_acuity_reserved | counted_minutes | clinical_contact_type |
| S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Open | Usable | 12-17 | Riverbend; CedarCare; BlueChoice; Northstar Select | English; Spanish | BH-P8A4 | Reserved | BH-P8A4 | Exact youth same-day match; guardian verification may remain pending for the safety review. | Yes | 45 | Clinical same-day safety | |
| S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Open | Usable | 18+ | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | BH-M2N7 | Reserved | BH-M2N7 | Exact adult command-content/psychosis safety match; self-pay and in-person requirements met. | Yes | 45 | Clinical same-day safety | |
| S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Open | Usable | 18+ | Riverbend; BlueChoice; Northstar Select | English; Spanish | BH-L0R6 | Reserved | BH-L0R6 | Exact perinatal same-day match; Riverbend, Spanish, telehealth consent, and Central constraints met. | Yes | 45 | Clinical same-day safety | |
| S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Open | Usable | 18+ | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | BH-C3T8 | Reserved | BH-C3T8 | Exact adult Trigger A safety match; Riverbend, East, English, and in-person constraints met. | Yes | 45 | Clinical same-day safety | |
| S-ASR-HOLD-8MV | 46171.6666666667 | East | Adult Safety Review | In-person | 45 | QA release pending | MIGRATION-HOLD | Not usable | 18+ | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | BH-C3T8 | Not usable | 254 | No | 0 | Clinical same-day safety | |
| P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Open | Usable | 18+ | BlueChoice; Northstar Select; Self-pay | English | BH-S5Q2 | Ineligible | 259 | No | 0 | Clinical bridge contact | ||
| P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | Not usable | 18+ | Riverbend | Spanish | BH-S5Q2 | Not usable | 265 | No | 0 | Clinical bridge contact | |
| P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Open | Usable | 18+ | Riverbend; CedarCare; BlueChoice; Northstar Select | English | BH-X1D5 | Reserved | BH-X1D5 | Exact recent psychiatric inpatient-discharge transition match; all payer/site/language constraints met. | Yes | 60 | Clinical intake | |
| P-ADT-CEN-5QW | 46173.5416666667 | Central | Adult Therapy Intake | Telehealth | 60 | Open | Usable | 18+ | CedarCare; Riverbend; BlueChoice | English | BH-R6W8 | Ineligible | 270 | No | 0 | Clinical intake | ||
| P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | Usable | 18+ | CedarCare; Riverbend; BlueChoice | English | BH-R6W8 | Reserved | BH-R6W8 | East adult therapy is permitted for CedarCare; telehealth consent and language requirements met. | Yes | 60 | Clinical intake | |
| P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake | Telehealth | 60 | Open | Usable | 18+ | BlueChoice; Riverbend | English | BH-T9Y6 | Reserved | BH-T9Y6 | Perinatal-competent adult intake matches pregnancy, East preference, BlueChoice, English, and signed telehealth consent. | Yes | 60 | Clinical intake | |
| P-GRP-4MJ | 46174.5833333333 | West | Skills Group Orientation | In-person | 90 | Open | Usable | 18+ | BlueChoice; Self-pay | English | 277 | 278 | No | 0 | Nonclinical orientation | |||
| P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Open | Usable | 18+ | Northstar Select; BlueChoice | English | BH-Z0B4 | Reserved | BH-Z0B4 | West in-person slot explicitly includes Northstar Select; telehealth is excluded by plan carve-out. | Yes | 60 | Clinical intake | |
| P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Open | Usable | 18+ | Riverbend; BlueChoice | English; Spanish | BH-Q2T0 | Reserved | BH-Q2T0 | Exact perinatal priority follow-up match; Riverbend, Central, English, and telehealth consent requirements met. | Yes | 60 | Clinical intake | |
| P-YTH-H5L | 46176.6527777778 | North | Youth Therapy Intake | In-person | 60 | Open | Usable | 12-17 | Riverbend; CedarCare; BlueChoice | English | BH-E7V1 | Ineligible | 287 | No | 0 | Clinical intake | ||
| P-POST-HLD-6R2 | 46172.3472222222 | East | Post-Discharge Transition | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | Not usable | 18+ | Riverbend; CedarCare; BlueChoice | English | BH-X1D5 | Not usable | 291 | No | 0 | Clinical intake |
Bridge Queue
| Bridge-Outreach Queue | ||||||
|---|---|---|---|---|---|---|
| Includes priority cases after the 2026-06-01 11:40 CT threshold, without an eligible slot, and all stable SUD priority cases. | ||||||
| Four clients require bridge outreach | ||||||
| client_id | priority_basis | reserved_slot_id | scheduled_start_ct | bridge_trigger | outreach_handling | protected_contact_caveat |
| BH-S5Q2 | Stable moderate substance-withdrawal presentation. | 144 | Spanish is required for any clinical bridge contact; do not imply that held interpreter capacity is available. | None documented. | ||
| BH-E7V1 | Youth self-injury 15–30 days ago with no current self-harm thoughts. | 160 | Pursue guardian/caregiver verification; do not leave voicemail/details with stepfather; counselor gets scheduling status only. | No voicemail or details to stepfather; school counselor may receive scheduling status only; verify caregiver authority. | ||
| BH-Z0B4 | PHQ-9 at least 20 with severe functional impairment and no active provider seen within 72 hours. | P-ADT-V4R | 46175.3645833333 | First clinical contact is 2026-06-02 08:45 CT, after the bridge threshold. | Bridge before West in-person intake; Northstar Select excludes telehealth. | None documented. |
| BH-Q2T0 | Perinatal EPDS at least 16 without a same-day perinatal trigger. | P-PER-F8Q | 46175.4375 | First clinical contact is 2026-06-02 10:30 CT, after the bridge threshold. | Bridge before Central perinatal telehealth follow-up; telehealth consent is signed. | None documented. |
Protected Contacts
| Protected-Contact Carry-Forward | ||||
|---|---|---|---|---|
| Only clients with an actual collateral, guardian/caregiver-authority, partner, or voicemail restriction are listed. | ||||
| Four restricted-contact records | ||||
| client_id | final_pathway | restriction | permitted_contact | operational_carry_forward |
| BH-J4K9 | Crisis transfer | Contact client only; do not use ordinary collateral outreach. | Client only; crisis warm transfer already accepted. | Do not initiate ordinary collateral outreach while crisis disposition is pending. |
| BH-P8A4 | Same-day clinician review | Do not treat the unverified guardian as authorized; school counselor may receive scheduling status only. | Student/safety-review process; school counselor may receive scheduling status only. | Same-day youth safety may proceed; 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. | Client within applicable youth-consent rules; school counselor may receive scheduling status only. | Do not leave voicemail or details with stepfather; verify caregiver authority before therapy reservation. |
Control Notes
| Reconciliation Control Notes | ||
|---|---|---|
| Source hierarchy and capacity/contact rules applied to the Friday cutover batch. | ||
| Controlling administrative rules | ||
| control_area | controlling_rule | source |
| Source hierarchy | Use the desk reference for routing, capacity, bridge, payer, language/modality, and contact rules. A signed same-client handoff in the 09:30–11:40 CT window may override export facts. | access_services_rules_cutover_queue.pdf; signed_clinical_handoff_packet.docx |
| Unsigned note | HN-T9Y6-DRAFT is draft/unsigned at 11:35 CT and is ignored; the export remains controlling for BH-T9Y6. | signed_clinical_handoff_packet.docx; referral_batch_export.xlsx |
| Triage labels | Raw triage bands are queue labels only and are not final dispositions. | access_services_rules_cutover_queue.pdf |
| Capacity gating | Reserve only Open slots with blank hold_code. Do not use blocked, held, tentative, or QA-release-pending capacity. | access_services_rules_cutover_queue.pdf; slot_inventory_and_roster.xlsx |
| Crisis exclusion | Do not reserve outpatient access capacity or count bridge outreach until post-crisis disposition is known. | access_services_rules_cutover_queue.pdf |
| Bridge threshold | 2026-06-01 11:40 CT. Count non-crisis priority cases after the threshold or without an eligible slot; count every stable moderate-withdrawal/SUD priority case. | access_services_rules_cutover_queue.pdf; referral_batch_export.xlsx |
| Nonclinical capacity | Group orientation is not a clinical contact and does not count toward first contact or reserved clinical minutes. | access_services_rules_cutover_queue.pdf; slot_inventory_and_roster.xlsx |
| CedarCare | No Central adult therapy or Central perinatal follow-up in this batch; East adult therapy and North youth/safety may be eligible. | access_services_rules_cutover_queue.pdf |
| Northstar Select | All telehealth is excluded; use only in-person slots explicitly listing Northstar Select. | access_services_rules_cutover_queue.pdf |
| County Access | Eligible only for same-day safety or post-crisis follow-up; not routine or priority therapy intake from this inventory. | access_services_rules_cutover_queue.pdf |
| Spanish capacity | A stated Spanish clinical-language requirement permits only Spanish-capable clinical slots; interpreter capacity cannot be assumed. | access_services_rules_cutover_queue.pdf |
| Youth authority | Same-day youth safety can proceed while guardian verification is pending; priority/routine youth therapy requires verified authority. | access_services_rules_cutover_queue.pdf |
| Telehealth consent | Telehealth requires signed consent and cannot be used when the payer carve-out excludes telehealth. | access_services_rules_cutover_queue.pdf |
| Protected contact | Carry restrictions when ordinary collateral/guardian/partner outreach is not permitted without consent or verification. | access_services_rules_cutover_queue.pdf; qualifying handoffs/referral fields |
User prompt → 41 turns · 29 tool calls → final responsecodex
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.mdsource. Below is the list of skills that can be used. Each entry includes a name, description, and source locator.filelocators are on the host filesystem,executor packagelocators are owned by their execution environment,orchestrator packagelocators are opaque package identifiers, andcustom resourcelocators 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.
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_agentto create a new agent,followup_taskto give an existing agent a new task and trigger a turn, andsend_messageto 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 thefork_turnsparameter.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. Callspawn_agent,send_message,followup_task,wait_agent,interrupt_agent, andlist_agentsonly as direct tool calls using the recipient shown in their tool definitions, such asto=functions.collaboration.spawn_agent, since they are intentionally absent from thefunctions.exectools.*namespace. Available tools infunctions.execare explicitly described with atoolsnamespace 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_turnsomitted or"all") inherit the parent mod… 264 more characters in the raw trajectory.
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.
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
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.
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.
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"} ]})
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.
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.
9Shell1
Tool execution only — no assistant text
Shellvia exec
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.
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:"p
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.
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
12Shell1
Tool execution only — no assistant text
Shellvia exec
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.
13Shell1
Tool execution only — no assistant text
Shellvia exec
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.
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.
15Shell1
Tool execution only — no assistant text
Shellvia exec
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.
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.
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
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: {}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
20Shell1
Tool execution only — no assistant text
Shellvia exec
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.
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: {}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, `${d.minutes} min`], control];\n*** End Patch"; text(await tools.apply_patch(patch));Output
Script completed Wall time 0.0 seconds Output: {}23Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"rg -n '\\\\n' /workspace/build_access_memo.js || true\nNODE_PATH=$(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
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.
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/
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.
26Shell1
Tool execution only — no assistant text
Shellvia exec
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 \"$render_tmp/routing_… 876 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 5.1 seconds Output: Warning: truncated output (original token count: 14454) Total output lines: 542 Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh-render-Nzjwyg/access_reconciliation_memo.pdf using filter : writer_pdf_Export Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/routing_reconciliation_workbook.xlsx as a Calc document -> /tmp/mbh-render-Nzjwyg/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Title: Meadowbrook Friday Cutover Queue Reconciliation Subject: Urgent-access routing, reservations, unresolved priority cases, bridge outreach, and protected contact Author: OpenAI Creator: Writer Producer: LibreOffice 25.2.3.2 (X86_64) / LibreOffice Community Crea
… 39,617 more characters of output in the raw trajectory.
27Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const dir = (await tools.exec_command({cmd:"cat /tmp/mbh-render-lastdir","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":1000})).output.trim(); for (const f of ["memo-page-1.png","memo-page-3.png","memo-page-5.png","memo-page-6.png","memo-page-7.png","workbook-page-1.png","workbook-page-2.png","workbook-page-3.png"]) { const v = await tools.view_image({path:`${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.
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.
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: {}30Shell1
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=$(mktemp -d /tmp/mbh-render2-XXXXXX)\nprintf '%s\\n' \"$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.
31Shell1
Tool execution only — no assistant text
Shellvia exec
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.
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: {}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 \"$render_tmp/access_reconciliation_memo.pdf\" | rg 'Pages|Page size|File si… 322 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 3.8 seconds Output: Paragraphs: 0 → 214 (+214) All validations PASSED! Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh-render3-QwsjnL/access_reconciliation_memo.pdf using filter : writer_pdf_Export Pages: 4 Page size: 612 x 792 pts (letter) File size: 140731 bytes memo-page-1.png 216 KB memo-page-2.png 236 KB memo-page-3.png 240 KB memo-page-4.png 244 KB
34Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const dir=(await tools.exec_command({cmd:"cat /tmp/mbh-render3-lastdir","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":1000})).output.trim(); for (const f of ["memo-page-1.png","memo-page-4.png"]) { const v=await tools.view_image({path:`${dir}/${f}`,detail:"original"}); image(v.image_url); }Output
Script completed Wall time 0.1 seconds Output:
… 618,582 more characters of output in the raw trajectory.
35exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n- [\"Rank\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n+ [\"#\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n*** End Patch"; text(await tools.apply_patch(patch));
Arguments
const patch = "*** Begin Patch\n*** Update File: build_access_memo.js\n@@\n- [\"Rank\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n+ [\"#\", \"Client\", \"Pathway\", \"Controlling facts\", \"Required disposition / reservation\"],\n*** End Patch"; text(await tools.apply_patch(patch));
Output
Script completed Wall time 0.0 seconds Output: {}36Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"NODE_PATH=$(npm root -g) node /workspace/build_access_memo.js\npython /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx\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.
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: {}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
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
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: {}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
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.
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.