task_53Health care and social assistance
All trialsGPT-5.6 SolcodexTrial 03
Trial reward
GPT-5.6 SolPass
Trial 03 — 1st of 4 by reward score. This model averages 92.8% across 4 trials on this task.
- 13/13Core verifiers passed
- 16/17All verifiers passed
- 49Turns
- 37Tool calls
- $2.98Cost
- 19.1mTime
- 47kOutput tokens
Cleared the core tier; missed 1 secondary — 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_hierarchyLLMPass
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
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 confined to the requested reconciliation outputs: it adds an unrequested "6. Ordinary scheduling only" / routine-waitlist section with directions for BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0, and it adds a side action to "escalate the capacity gap" for BH-S5Q2. Those extra operational recommendations go beyond escalation, reservations, unresolved priority, bridge outreach, and protected-contact caveats.
2 deliverables · what this trial produced
MEADOWBROOK BEHAVIORAL HEALTH ACCESS SERVICES
Friday Cutover Queue Reconciliation
Urgent-access lead decision memo | Batch reviewed 2026-05-29 11:40 CT
TO
PURPOSE
CONTROL TIME
STATUS
Urgent-access lead
Finish Friday cutover queue before the scheduling huddle
All dates/times are CT
ACTION READY
5
Escalation queue
5
Priority placed
2
Priority unresolved
4
Bridge outreach
9 / 480
Clinical slots / minutes
4
Routine / waitlist
4
Restricted-contact flags
16
Clients reconciled
Protect the nine assigned clinical slots now. Keep BH-J4K9 in crisis transfer with no outpatient reservation. BH-S5Q2 and BH-E7V1 remain priority-access cases without a reservable eligible clinical slot.
1. Escalation queue — act before ordinary scheduling
Policy order is crisis first, then same-day Triggers A, B, C, and D. This ranking is not appointment-time order.
Rank
Client
Pathway
Controlling facts
Required action / remaining constraint
1
BH-J4K9
Crisis transfer
Current intent to act tonight plus an accessible medication stockpile. Mobile-crisis warm transfer was accepted.
Maintain mobile-crisis/ED routing. Do not reserve outpatient capacity; exclude from bridge outreach until post-crisis disposition. Contact client only—no ordinary family/collateral outreach.
2 · A
BH-C3T8
Same-day
Current thoughts; medication overdose method/means considered 18 days ago; medication supply remains accessible; no safety plan; no current intent.
Reserve S-ASR-3P1 — Fri 2026-05-29 15:10, East, in-person, 45 min. Complete review before ordinary intake.
3 · B
BH-P8A4
Same-day
Age 16; cutting 6 days ago plus current death/self-harm thoughts. Guardian/caregiver contact is not verified.
Reserve S-YSF-A7Q — Fri 13:05, North, in-person, 45 min. Safety review may proceed; counselor receives scheduling status only. Verify authority before later therapy.
4 · C
BH-M2N7
Same-day
Active voice commands client to step into traffic; client denies intent and accessible means.
Reserve S-PSY-9D2 — Fri 13:30, East, in-person, 45 min. Complete psychosis/safety review.
5 · D
BH-L0R6
Same-day
Postpartum 8 weeks; intrusive infant-harm images; sleep 2.5 hours/night; reliable support unconfirmed; no intent.
Reserve S-PERI-2B — Fri 14:20, Central telehealth, 45 min. Spanish clinical contact required; contact client directly or OB social work only—do not contact partner.
2. Priority clients placed into eligible appointments
Client
Priority basis
Reservation assignment
Eligibility basis
Bridge
BH-X1D5
Psychiatric inpatient discharge 2026-05-24; within 7 calendar days.
P-PDT-6N4 — Sun 2026-05-31 10:40, East, in-person, 60 min
Open + blank hold; recent-discharge specialty; adult; Riverbend; English.
No
BH-R6W8
GAD-7 19 with severe homebound impairment; no active provider within 72 hours.
P-ADT-K3M — Mon 2026-06-01 09:20, East telehealth, 60 min
CedarCare is eligible for East adult therapy; consent signed. Central adult therapy remains carved out.
No
BH-T9Y6
GAD-7 19 with severe work impairment; no active provider within 72 hours.
P-ADT-TRI — Mon 2026-06-01 10:15, East telehealth, 60 min
BlueChoice; consent signed; perinatal-competent clinician. HN-T9Y6-DRAFT was unsigned and is ignored.
No
BH-Z0B4
PHQ-9 22 with severe missed-work impairment; no active provider within 72 hours.
P-ADT-V4R — Tue 2026-06-02 08:45, West, in-person, 60 min
Explicitly includes Northstar Select and respects the plan’s telehealth exclusion.
Yes
BH-Q2T0
Postpartum; EPDS 17; support available, sleep about 5 hours, and no intrusive harm content.
P-PER-F8Q — Tue 2026-06-02 10:30, Central telehealth, 60 min
Perinatal priority specialty; Riverbend; English; consent signed.
Yes
3. Unresolved priority — no eligible clinical slot can be reserved
Client
Priority basis
Why current inventory cannot be used
Required operational action
BH-S5Q2
Stable moderate alcohol-withdrawal presentation; Spanish required.
P-SUD-7CX is Hold with INTERPRETER-UNCONFIRMED. P-SUD-1FZ is English-only and excludes Riverbend Medicaid. No eligible clinical SUD slot is reservable.
Bridge outreach is required for SUD regardless of timing. Initiate Spanish-capable bridge outreach and escalate the capacity gap; do not use the held slot.
BH-E7V1
Age 14; self-injury about 21 days ago; no current thoughts.
P-YTH-H5L otherwise matches, but priority youth therapy requires verified guardian/caregiver authority. A same-day safety slot is not the supported pathway.
Bridge outreach is required. Verify authority; no voicemail/details to stepfather; counselor receives scheduling status only. Do not reserve therapy yet.
4. Bridge-outreach queue
Bridge threshold: 2026-06-01 11:40 CT. Crisis, same-day, and routine clients are excluded.
Client
Why flagged
First clinical contact
Outreach constraint
BH-S5Q2
SUD priority always receives bridge outreach; no eligible slot.
None reserved
Spanish-capable clinical outreach; no held interpreter slot.
BH-E7V1
No eligible clinical slot can be reserved.
None reserved
Honor stepfather/counselor limits; verify caregiver authority.
BH-Z0B4
First clinical contact is after the threshold.
Tue 2026-06-02 08:45
Bridge to appointment; Northstar remains in-person only.
BH-Q2T0
First clinical contact is after the threshold.
Tue 2026-06-02 10:30
Bridge to perinatal follow-up.
5. Protected-contact caveats
Client
Allowed
Do not
Carry-forward impact
BH-J4K9
Client directly; accepted mobile-crisis transfer.
Ordinary family/collateral outreach.
Retain during crisis transfer and post-crisis handoff.
BH-P8A4
Safety review may proceed; school counselor gets scheduling status only.
Clinical details through unverified guardian contact or school collateral.
Verify guardian/caregiver authority before later therapy.
BH-L0R6
Client directly or OB social work; Spanish clinical contact.
Partner contact.
Use only the named channels for rapid-review outreach.
BH-E7V1
Counselor gets scheduling status only; youth-safe outreach within policy.
Voicemail/details to stepfather; unverified caregiver authority.
No youth-therapy reservation until authority is verified.
6. Ordinary scheduling only
Client
Reconciled basis
Direction
BH-V9F3
High symptom score, but outside therapist was seen at 08:15 on batch day and an existing psychiatrist is active; no escalation trigger.
Routine/waitlist; avoid duplicative urgent access unless symptoms change. Northstar telehealth exclusion still applies later.
BH-N4A1
Signed handoff attributes the raw checkbox to tinnitus/hearing loss; no hallucinations, command content, intent, or recent self-harm.
Routine/waitlist; no high-acuity reservation.
BH-A8U2
Loaded encounters were urgent-care insomnia and non-behavioral ED; no BH ED visit or current decompensation remains.
Routine/waitlist; no high-acuity reservation.
BH-D5H0
ED observation did not become psychiatric inpatient admission; no current intent or functional deterioration.
Routine/waitlist. County Access Safety Net cannot use routine/priority therapy from this inventory.
7. Reservation controls
High-acuity slot IDs, ordered by start: S-YSF-A7Q; S-PSY-9D2; S-PERI-2B; S-ASR-3P1; P-PDT-6N4; P-ADT-K3M; P-ADT-TRI; P-ADT-V4R; P-PER-F8Q.
Reserved clinical minutes: 480 minutes (four 45-minute same-day reviews plus five 60-minute priority appointments).
Unusable / excluded capacity: S-ASR-HOLD-8MV (QA release pending); P-SUD-7CX (Hold / interpreter unconfirmed); P-POST-HLD-6R2 (Tentative). P-GRP-4MJ is nonclinical and is not counted as first clinical contact or reserved minutes.
Source controls applied: the access desk reference governs routing, carve-outs, bridge rules, slot eligibility, and contact limits; only same-client signed notes finalized within 09:30–11:40 CT override the export; raw triage bands are not dispositions; HN-T9Y6-DRAFT was ignored; only Open slots with blank hold codes were used.
Cutover Summary
| Friday cutover queue reconciliation | |||||||
|---|---|---|---|---|---|---|---|
| Meadowbrook Behavioral Health Access Services | Batch reviewed 2026-05-29 11:40 CT | All appointment times CT | |||||||
| Batch controls | |||||||
| Review timestamp | 46171.4861111111 | Bridge threshold | 46174.4861111111 | Authority window | 2026-05-29 09:30–11:40 CT | ||
| Decision counts | |||||||
| Total clients | Escalation queue | Priority clients | Priority placed | Unresolved priority | Bridge outreach | Restricted contact | Reserved minutes |
| 16 | 5 | 7 | 5 | 2 | 4 | 4 | 480 |
| Reserved high-acuity clinical appointments — chronological | |||||||
| Start (CT) | Slot ID | Client ID | Pathway | Program | Modality | Minutes | Bridge |
| 46171.5451388889 | S-YSF-A7Q | BH-P8A4 | Same-day clinician review | Youth Safety Review | In-person | 45 | No |
| 46171.5625 | S-PSY-9D2 | BH-M2N7 | Same-day clinician review | Psychosis Safety Review | In-person | 45 | No |
| 46171.5972222222 | S-PERI-2B | BH-L0R6 | Same-day clinician review | Perinatal Rapid Review | Telehealth | 45 | No |
| 46171.6319444445 | S-ASR-3P1 | BH-C3T8 | Same-day clinician review | Adult Safety Review | In-person | 45 | No |
| 46173.4444444445 | P-PDT-6N4 | BH-X1D5 | Priority access | Post-Discharge Transition | In-person | 60 | No |
| 46174.3888888889 | P-ADT-K3M | BH-R6W8 | Priority access | Adult Therapy Intake | Telehealth | 60 | No |
| 46174.4270833333 | P-ADT-TRI | BH-T9Y6 | Priority access | Adult Therapy Intake | Telehealth | 60 | No |
| 46175.3645833333 | P-ADT-V4R | BH-Z0B4 | Priority access | Adult Therapy Intake | In-person | 60 | Yes |
| 46175.4375 | P-PER-F8Q | BH-Q2T0 | Priority access | Perinatal Follow-Up | Telehealth | 60 | Yes |
| Control total | 480 | ||||||
| Cutover directives | |||||||
| Act in policy order: BH-J4K9 crisis transfer, then same-day Triggers A–D (BH-C3T8, BH-P8A4, BH-M2N7, BH-L0R6). | |||||||
| Two priority cases remain unresolved: BH-S5Q2 (no reservable Spanish Riverbend SUD slot) and BH-E7V1 (guardian/caregiver authority not verified for youth therapy). | |||||||
| Bridge outreach is required for BH-S5Q2, BH-E7V1, BH-Z0B4, and BH-Q2T0. | |||||||
| Do not use QA-release-pending, Hold, Tentative, or nonblank-hold rows; do not count group orientation as clinical contact or reserved minutes. | |||||||
| Carry protected-contact limits forward for BH-J4K9, BH-P8A4, BH-L0R6, and BH-E7V1. |
Client Routing
| Client-level routing reconciliation | ||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Final administrative routing after applying the controlling desk reference and eligible signed handoffs. | ||||||||||||||||||||||||||||
| Client ID | Referral source | Age | Perinatal status | Payer / plan | Preferred site | Clinical language | Telehealth consent | Guardian / caregiver status | Authority used | Routing facts | Final pathway | Policy trigger / criterion | Escalation rank | Reservation status | Slot ID | Appointment start (CT) | Program | Modality | Minutes | Eligibility / exclusion basis | Bridge outreach | Bridge reason | Unresolved priority | Unresolved constraint | Restricted contact | Contact caveat | Next operational action | Raw triage band |
| BH-J4K9 | ED callback | 34 | No | Riverbend Medicaid MCO | East | English | No | n/a | HN-J4K9 — signed 2026-05-29 11:18 CT | Current intent to act tonight plus accessible medication stockpile; mobile-crisis warm transfer accepted. | Crisis transfer | Current intent plus accessible means. | 1 | No reservation — crisis transfer | 0 | Outpatient slots are excluded until post-crisis disposition is known. | No | Crisis transfers are excluded from bridge counts. | No | 69 | Contact client only; do not initiate ordinary family or collateral outreach. | Maintain mobile-crisis/ED transfer and await post-crisis disposition before outpatient scheduling. | Moderate | |||||
| BH-C3T8 | Primary care warm handoff | 47 | No | Riverbend Medicaid MCO | East | English | Yes | n/a | HN-C3T8 — signed 2026-05-29 10:02 CT | Current death/self-harm thoughts; medication quantities considered 18 days ago; supply remains accessible; no safety plan; no current intent. | Same-day clinician review | Trigger A — method/means considered within 30 days and no documented safety plan. | 2 | Reserve | S-ASR-3P1 | 46171.6319444445 | Adult Safety Review | In-person | 45 | Open, blank hold code; adult; East; Riverbend; English; correct adult same-day specialty. | No | Same-day review clients are excluded from bridge counts. | No | 57 | 85 | High | ||
| BH-P8A4 | School referral | 16 | No | Riverbend Medicaid MCO | North | English | No | Not verified / stale | HN-P8A4 — signed 2026-05-29 10:41 CT | Age 16; cutting 6 days ago; current death/self-harm thoughts; guardian phone/authority not verified. | Same-day clinician review | Trigger B — client under 18 with self-injury within 14 days and current thoughts. | 3 | Reserve | S-YSF-A7Q | 46171.5451388889 | Youth Safety Review | In-person | 45 | Open, blank hold code; age 12–17; North; Riverbend; English; same-day youth safety may proceed while guardian verification is pending. | No | Same-day review clients are excluded from bridge counts. | No | 69 | Guardian/caregiver authority is not verified. School counselor may receive scheduling status only; do not disclose clinical details. | Reserve S-YSF-A7Q; proceed with safety review and continue guardian verification for any later therapy intake. | High | |
| BH-M2N7 | Self referral | 22 | No | Self-pay | East | English | Yes | n/a | HN-M2N7 — signed 2026-05-29 10:36 CT | Active voice commands client to step into traffic; client denies intent and accessible means. | Same-day clinician review | Trigger C — active command hallucination without intent or accessible means. | 4 | Reserve | S-PSY-9D2 | 46171.5625 | Psychosis Safety Review | In-person | 45 | Open, blank hold code; adult; East; self-pay; English; correct command-content specialty. | No | Same-day review clients are excluded from bridge counts. | No | 57 | 108 | High | ||
| BH-L0R6 | OB clinic | 29 | Postpartum 8 weeks | Riverbend Medicaid MCO | Central | Spanish | Yes | n/a | HN-L0R6 — signed 2026-05-29 10:58 CT | Eight weeks postpartum; intrusive infant-harm images; sleep 2.5 hours/night; reliable support unconfirmed; no intent. | Same-day clinician review | Trigger D — perinatal intrusive harm thoughts plus sleep at or below 3 hours/night and unreliable support. | 5 | Reserve | S-PERI-2B | 46171.5972222222 | Perinatal Rapid Review | Telehealth | 45 | Open, blank hold code; perinatal; Riverbend; Central; Spanish-capable; telehealth consent signed. | No | Same-day review clients are excluded from bridge counts. | No | 69 | Do not contact partner. Outreach is limited to the client directly or OB social work; Spanish clinical contact is required. | Reserve S-PERI-2B and use Spanish-capable direct/OB-social-work outreach only. | Moderate | |
| BH-X1D5 | Inpatient discharge planning | 41 | No | Riverbend Medicaid MCO | East | English | Yes | n/a | HN-X1D5 — signed 2026-05-29 09:55 CT | Psychiatric inpatient discharge on 2026-05-24; safety plan on file; no current intent. | Priority access | Psychiatric inpatient discharge within 7 calendar days of batch review. | 79 | P-PDT-6N4 | 46173.4444444445 | Post-Discharge Transition | In-person | 60 | Open, blank hold code; recent inpatient discharge; adult; East; Riverbend; English. | No | First clinical contact is before 2026-06-01 11:40 CT. | No | 57 | 133 | Moderate | |||
| BH-S5Q2 | Primary care warm handoff | 58 | No | Riverbend Medicaid MCO | West | Spanish | Yes | n/a | HN-S5Q2 — signed 2026-05-29 10:24 CT | Stable moderate alcohol-withdrawal presentation; not intoxicated; Spanish required for clinical care. | Priority access | Stable moderate substance-withdrawal presentation. | 139 | 0 | P-SUD-7CX is Hold with INTERPRETER-UNCONFIRMED; P-SUD-1FZ is English-only and excludes Riverbend Medicaid. No eligible clinical SUD slot is reservable. | Yes | All stable moderate-withdrawal/SUD priority clients require bridge outreach; no eligible appointment is reserved. | Yes | No open, blank-hold Spanish-capable Riverbend SUD clinical slot. | No | 143 | High | ||||||
| BH-R6W8 | Self referral | 37 | No | CedarCare Medicaid | East | English | Yes | n/a | HN-R6W8 — signed 2026-05-29 10:50 CT | GAD-7 19 with severe homebound functional impairment; no active behavioral-health provider seen within 72 hours. | Priority access | GAD-7 at or above 18 with severe impairment and no active provider seen within 72 hours. | 79 | P-ADT-K3M | 46174.3888888889 | Adult Therapy Intake | Telehealth | 60 | Open, blank hold code; East adult therapy is allowed for CedarCare; English; telehealth consent signed. Central adult therapy is carved out. | No | First clinical contact is before 2026-06-01 11:40 CT. | No | 57 | 152 | Moderate | |||
| BH-E7V1 | School referral | 14 | No | Riverbend Medicaid MCO | North | English | No | Not verified — caregiver conflict | HN-E7V1 — signed 2026-05-29 11:05 CT | Age 14; self-injury about 21 days ago; no current self-harm thoughts; caregiver authority not verified. | Priority access | Youth self-injury 15–30 days ago with no current self-harm thoughts. | 139 | 0 | P-YTH-H5L otherwise matches, but priority youth therapy requires verified guardian/caregiver authority. The same-day safety slot is not the supported pathway. | Yes | No eligible clinical appointment can be reserved. | Yes | Guardian/caregiver authority is not verified, so the youth therapy intake cannot be reserved. | Yes | Do not leave voicemail or details with stepfather. School counselor may receive scheduling status only; authority must be verified. | Initiate bridge outreach within youth contact limits and verify guardian/caregiver authority before reserving therapy. | High | |||||
| BH-Q2T0 | OB clinic | 31 | Postpartum 5 months | Riverbend Medicaid MCO | Central | English | Yes | n/a | HN-Q2T0 — signed 2026-05-29 10:47 CT | EPDS 17; sleep about 5 hours; reliable support available; no intrusive harm content. | Priority access | Perinatal EPDS at or above 16 without a same-day perinatal trigger. | 79 | P-PER-F8Q | 46175.4375 | Perinatal Follow-Up | Telehealth | 60 | Open, blank hold code; perinatal; Riverbend; Central; English; telehealth consent signed. | Yes | First clinical contact is after 2026-06-01 11:40 CT. | No | 57 | 172 | Moderate | |||
| BH-Z0B4 | Primary care referral | 52 | No | Northstar Select | West | English | Yes | n/a | HN-Z0B4 — signed 2026-05-29 10:52 CT | PHQ-9 22 with severe missed-work impairment; no active provider seen within 72 hours; no ideation or psychosis. | Priority access | PHQ-9 at or above 20 with severe impairment and no active provider seen within 72 hours. | 79 | P-ADT-V4R | 46175.3645833333 | Adult Therapy Intake | In-person | 60 | Open, blank hold code; West; in-person; explicitly includes Northstar Select. Telehealth is excluded for this plan. | Yes | First clinical contact is after 2026-06-01 11:40 CT. | No | 57 | 181 | High | |||
| BH-T9Y6 | OB clinic | 30 | Pregnant 24 weeks | BlueChoice PPO | East | English | Yes | n/a | Referral export controls — HN-T9Y6-DRAFT is unsigned and ignored | GAD-7 19 with severe work impairment; no active provider seen within 72 hours; no same-day trigger in the authoritative record. | Priority access | GAD-7 at or above 18 with severe impairment and no active provider seen within 72 hours. | 79 | P-ADT-TRI | 46174.4270833333 | Adult Therapy Intake | Telehealth | 60 | Open, blank hold code; East; BlueChoice; English; telehealth consent signed; clinician is perinatal-competent. | No | First clinical contact is before 2026-06-01 11:40 CT. | No | 57 | 189 | Moderate | |||
| BH-V9F3 | Primary care referral | 27 | No | Northstar Select | East | English | Yes | n/a | HN-V9F3 — signed 2026-05-29 10:44 CT | PHQ-9 21 with marked impairment, but outside therapist was seen at 08:15 on batch day and an existing psychiatrist is active; no escalation trigger. | Routine / waitlist | High symptom score is covered by an active behavioral-health provider seen within 72 hours. | 195 | 0 | No high-acuity slot assignment; Northstar telehealth exclusion remains applicable to any later scheduling. | No | Routine clients are excluded from bridge counts. | No | 57 | 198 | High | |||||||
| BH-N4A1 | Primary care referral | 63 | No | Riverbend Medicaid MCO | Central | English | No | n/a | HN-N4A1 — signed 2026-05-29 10:12 CT | Signed clarification attributes the checkbox to tinnitus/hearing loss; client denies hallucinations, command content, intent, and recent self-harm. | Routine / waitlist | No crisis, same-day, or priority criterion remains after signed clarification. | 195 | 0 | No high-acuity slot assignment. | No | Routine clients are excluded from bridge counts. | No | 57 | 204 | High | |||||||
| BH-A8U2 | ED follow-up queue | 45 | No | Riverbend Medicaid MCO | East | English | Yes | n/a | HN-A8U2 — signed 2026-05-29 10:32 CT | Both loaded encounters were reclassified as urgent-care insomnia and non-behavioral ED; no BH ED visit or current decompensation remains. | Routine / waitlist | Urgent-care and non-behavioral ED encounters do not count as behavioral-health ED visits; no other trigger. | 195 | 0 | No high-acuity slot assignment. | No | Routine clients are excluded from bridge counts. | No | 57 | 204 | High | |||||||
| BH-D5H0 | ED observation follow-up | 19 | No | County Access Safety Net | West | English | No | n/a | HN-D5H0 — signed 2026-05-29 09:49 CT | ED observation on 2026-05-21 did not become psychiatric inpatient admission; no current intent or functional deterioration. | Routine / waitlist | ED observation is not psychiatric inpatient discharge; no other trigger. | 195 | 0 | County Access Safety Net is eligible only for same-day safety or post-crisis follow-up; neither pathway applies. | No | Routine clients are excluded from bridge counts. | No | 57 | 217 | Moderate |
Slot Decisions
| Slot eligibility and reservation decisions | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Every inventory row is retained; policy carve-outs and status gating control the batch decision. | ||||||||||||||||
| Slot ID | Start (CT) | Site | Program | Modality | Minutes | Slot status | Hold code | Age band | Accepted payer categories | Accepted plans / exclusions | Clinical languages | Clinical contact type | Batch usability | Assigned client | Reservation decision | Decision basis |
| S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Open | 233 | Medicaid; Commercial; Self-pay | Riverbend; CedarCare; BlueChoice; Northstar Select | English; Spanish | Clinical same-day safety | Usable — reserved | BH-P8A4 | Reserve | Matches youth Trigger B; guardian verification may remain pending for same-day safety. | |
| S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Open | 240 | Medicaid; Commercial; Self-pay | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | Clinical same-day safety | Usable — reserved | BH-M2N7 | Reserve | Matches adult command-content Trigger C and self-pay. | |
| S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Open | 240 | Medicaid; Commercial | Riverbend; BlueChoice; Northstar Select | English; Spanish | Clinical same-day safety | Usable — reserved | BH-L0R6 | Reserve | Matches perinatal Trigger D; Spanish capable; Riverbend; telehealth consent present. | |
| S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Open | 240 | Medicaid; Commercial; Self-pay | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | Clinical same-day safety | Usable — reserved | BH-C3T8 | Reserve | Matches adult Trigger A; East; Riverbend; English. | |
| S-ASR-HOLD-8MV | 46171.6666666667 | East | Adult Safety Review | In-person | 45 | QA release pending | MIGRATION-HOLD | 18+ | Medicaid; Commercial; Self-pay | Riverbend; CedarCare; BlueChoice; Northstar Select; Self-pay | English | Clinical same-day safety | Not usable | 251 | QA-release-pending status and nonblank hold code. | |
| P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | 18+ | Medicaid | Riverbend | Spanish | Clinical bridge contact | Not usable | 251 | Hold status and interpreter-unconfirmed hold code; cannot be released for this batch. | |
| P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Open | 240 | Commercial; Self-pay | BlueChoice; Northstar Select; Self-pay | English | Clinical bridge contact | Usable — unreserved | 251 | BH-S5Q2 requires Spanish and Riverbend Medicaid; this slot is English-only and excludes that payer. | ||
| P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Open | 240 | Medicaid; Commercial | Riverbend; CedarCare; BlueChoice; Northstar Select | English | Clinical intake | Usable — reserved | BH-X1D5 | Reserve | Matches recent inpatient discharge, East, Riverbend, and English. | |
| P-ADT-CEN-5QW | 46173.5416666667 | Central | Adult Therapy Intake | Telehealth | 60 | Open | 240 | Medicaid; Commercial | CedarCare; Riverbend; BlueChoice | English | Clinical intake | Usable — unreserved | 251 | CedarCare is carved out from Central adult therapy; no remaining priority client has a matching unmet pathway. | ||
| P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | 240 | Medicaid; Commercial | CedarCare; Riverbend; BlueChoice | English | Clinical intake | Usable — reserved | BH-R6W8 | Reserve | East adult therapy remains eligible for CedarCare; telehealth consent is present. | |
| P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake | Telehealth | 60 | Open | 240 | Commercial; Medicaid | BlueChoice; Riverbend | English | Clinical intake | Usable — reserved | BH-T9Y6 | Reserve | Matches East, BlueChoice, telehealth consent, and perinatal-competent clinician. | |
| P-GRP-4MJ | 46174.5833333333 | West | Skills Group Orientation | In-person | 90 | Open | 240 | Commercial; Self-pay | BlueChoice; Self-pay | English | Nonclinical orientation | Usable — nonclinical | 280 | Nonclinical orientation cannot satisfy first clinical contact or reserved clinical minutes. | ||
| P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Open | 240 | Commercial | Northstar Select; BlueChoice | English | Clinical intake | Usable — reserved | BH-Z0B4 | Reserve | In-person West slot explicitly includes Northstar Select; telehealth carve-out is respected. | |
| P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Open | 240 | Medicaid; Commercial | Riverbend; BlueChoice | English; Spanish | Clinical intake | Usable — reserved | BH-Q2T0 | Reserve | Matches perinatal priority, Central, Riverbend, English, and telehealth consent. | |
| P-YTH-H5L | 46176.6527777778 | North | Youth Therapy Intake | In-person | 60 | Open | 233 | Medicaid; Commercial | Riverbend; CedarCare; BlueChoice | English | Clinical intake | Usable — unreserved | 251 | BH-E7V1 otherwise matches, but guardian/caregiver authority is not verified for priority youth therapy. | ||
| P-POST-HLD-6R2 | 46172.3472222222 | East | Post-Discharge Transition | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | 18+ | Medicaid; Commercial | Riverbend; CedarCare; BlueChoice | English | Clinical intake | Not usable | 251 | Tentative status and nonblank hold code. |
Bridge Outreach
| Bridge-outreach queue | ||||||
|---|---|---|---|---|---|---|
| Threshold: 2026-06-01 11:40 CT. Crisis, same-day, and routine clients are excluded. | ||||||
| Client ID | Priority basis | Reserved slot / first clinical contact | Bridge flag basis | Clinical language | Contact guardrail | Operational action |
| BH-S5Q2 | Stable moderate substance-withdrawal presentation | No eligible slot | SUD priority always receives bridge outreach; no eligible clinical appointment is reservable. | Spanish | Client outreach; Spanish clinical contact required. | Initiate Spanish-capable SUD bridge outreach and escalate the clinical-capacity gap. |
| BH-E7V1 | Youth self-injury 15–30 days ago; no current thoughts | No eligible slot | No eligible clinical appointment is reservable. | English | No voicemail/details to stepfather; school counselor gets scheduling status only; authority unverified. | Provide bridge outreach within youth contact limits and verify guardian/caregiver authority. |
| BH-Z0B4 | PHQ-9 22 with severe impairment; no active provider | P-ADT-V4R — 2026-06-02 08:45 CT | First clinical contact is after 2026-06-01 11:40 CT. | English | No special collateral restriction. | Bridge through the in-person West appointment; Northstar telehealth exclusion remains in force. |
| BH-Q2T0 | Perinatal EPDS 17 without same-day trigger | P-PER-F8Q — 2026-06-02 10:30 CT | First clinical contact is after 2026-06-01 11:40 CT. | English | No special collateral restriction. | Bridge through the perinatal follow-up appointment. |
Protected Contact
| Protected-contact caveats | ||||||
|---|---|---|---|---|---|---|
| Carry these limits forward to all outreach and scheduling activity. | ||||||
| Client ID | Pathway | Restricted contact | Allowed contact / disclosure | Prohibited or limited contact | Scheduling impact | Authoritative basis |
| BH-J4K9 | Crisis transfer | Yes | Client directly; accepted mobile-crisis transfer. | No ordinary family or collateral outreach. | No outpatient reservation until post-crisis disposition is known. | Referral export: ‘May contact client only’; signed HN-J4K9 does not supersede that restriction. |
| BH-P8A4 | Same-day clinician review | Yes | Same-day safety review may proceed; school counselor may receive scheduling status only. | Do not disclose clinical details through unverified guardian contact or school collateral. | Reserve S-YSF-A7Q; verify guardian/caregiver authority before any later therapy intake. | Signed HN-P8A4 and referral export guardian/collateral fields. |
| BH-L0R6 | Same-day clinician review | Yes | Client directly or OB social work only; Spanish clinical contact. | Do not contact partner. | Reserve Spanish-capable S-PERI-2B; keep outreach within named channels. | Signed HN-L0R6. |
| BH-E7V1 | Priority access — unresolved | Yes | School counselor may receive scheduling status only; use youth-safe direct outreach within policy. | No voicemail or details to stepfather; caregiver authority is not verified. | Do not reserve P-YTH-H5L until authority is verified; bridge outreach remains required. | Signed HN-E7V1. |
Source Controls
| Source hierarchy and applied controls | ||
|---|---|---|
| Audit trail for this reconciliation; no outside facts or invented capacity were used. | ||
| Control area | Controlling source | Applied rule / reconciliation treatment |
| Routing and exclusions | access_services_rules_cutover_queue.pdf | Highest-action routing controls. Raw triage bands are queue labels, not dispositions. |
| Signed-note authority | signed_clinical_handoff_packet.docx | A same-client note overrides the export only when finalized between 2026-05-29 09:30 and 11:40 CT. All used signed notes fall within the window. |
| Unsigned note exclusion | HN-T9Y6-DRAFT | Draft unsigned at 2026-05-29 11:35 CT; ignored. Referral-export facts control BH-T9Y6. |
| Capacity source | slot_inventory_and_roster.xlsx | Only slot_status Open with blank hold_code is reservable; duration and status are unchanged. |
| Payer carve-outs | access_services_rules_cutover_queue.pdf | CedarCare cannot use Central adult/perinatal; Northstar Select cannot use telehealth; County Access Safety Net is limited to same-day safety or post-crisis follow-up. |
| Language and modality | Desk reference plus referral/handoff facts | Spanish-required clients receive only Spanish-capable clinical matching. Telehealth requires signed consent and an eligible payer. |
| Youth authority | access_services_rules_cutover_queue.pdf | Same-day youth safety may proceed while verification is pending; priority youth therapy requires verified guardian/caregiver authority. |
| Bridge threshold | access_services_rules_cutover_queue.pdf | 2026-06-01 11:40 CT. Priority clients after threshold or without a slot are flagged; all stable moderate-withdrawal/SUD priority clients are flagged. |
| Nonclinical exclusion | access_services_rules_cutover_queue.pdf | Group orientation is nonclinical and excluded from first clinical contact and reserved minutes. |
User prompt → 49 turns · 37 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 .docx memo and an .xlsx ope…
I’m using the Word and spreadsheet skills because the requested deliverables are a formatted
.docxmemo and an.xlsxoperations workbook. I’ll first reconcile the controlling rules, finalized handoffs, referrals, and usable inventory, then build and validate exactly those two files in/workspace/output/.7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "sed -n '1,240p' /root/.agents/skills/docx/SKILL.md && sed -n '1,280p' /root/.agents/skills/xlsx/SKILL.md", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 30000 }); text(r.output);Output
Script completed Wall time 0.1 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
… 19,245 more characters of output in the raw trajectory.
8Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "wc -l /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/SKILL.md && sed -n '241,520p' /root/.agents/skills/docx/SKILL.md && sed -n '281,560p' /root/.agents/skills/xlsx/SKILL.md", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 30000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: 590 /root/.agents/skills/docx/SKILL.md 291 /root/.agents/skills/xlsx/SKILL.md 881 total new Paragraph({ children: [new PageBreak()] }) // Or use pageBreakBefore new Paragraph({ pageBreakBefore: true, children: [new TextRun("New page")] }) ``` ### Hyperlinks ```javascript // External link new Paragraph({ children: [new ExternalHyperlink({ children: [new TextRun({ text: "Click here", style: "Hyperlink" })], link: "https://example.com", })] }) // Internal link (bookmark + reference) // 1. Create bookmark at destination new Paragraph({ heading: HeadingLevel.HEADING_1, children: [ new Bookmark({ id: "chapter1", children: [new TextRun("Chapter 1")] }), ]}) // 2. Link to it new Paragraph({ children: [new InternalHyperlink({ children: [new TextRun({ text: "See Chapter 1", style: "Hyperlink" })], anchor: "chapter1", })]})… 9,410 more characters of output in the raw trajectory.
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "sed -n '521,700p' /root/.agents/skills/docx/SKILL.md", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 12000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: ```xml <w:del w:author="Jane" w:id="5"> <w:r><w:delText>deleted text</w:delText></w:r> </w:del> <w:ins w:author="Claude" w:id="10"> <w:r><w:t>deleted text</w:t></w:r> </w:ins> ``` ### Comments After running `comment.py` (see Step 2), add markers to document.xml. For replies, use `--parent` flag and nest markers inside the parent's. **CRITICAL: `<w:commentRangeStart>` and `<w:commentRangeEnd>` are siblings of `<w:r>`, never inside `<w:r>`.** ```xml <!-- Comment markers are direct children of w:p, never inside w:r --> <w:commentRangeStart w:id="0"/> <w:del w:id="1" w:author="Claude" w:date="2025-01-01T00:00:00Z"> <w:r><w:delText>deleted</w:delText></w:r> </w:del> <w:r><w:t> more text</w:t></w:r> <w:commentRangeEnd w:id="0"/> <w:r><w:rPr><w:rStyle w:val="CommentReference"/></w:rPr><w:commentReference w:id="0"/></w:r> <!-- Comment 0 wit
… 1,330 more characters of output in the raw trajectory.
10Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "rg --files -g '!output/**' -g '!~$*' | sort", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 20000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: data/access_services_rules_cutover_queue.pdf data/referral_batch_export.xlsx data/signed_clinical_handoff_packet.docx data/slot_inventory_and_roster.xlsx
11The access desk reference is a PDF, so I’m also applying the PDF skill to extract and inspect it faithfully. The source…
The access desk reference is a PDF, so I’m also applying the PDF skill to extract and inspect it faithfully. The source set is complete: one rules PDF, one referral export, one signed-handoff packet, and one slot inventory/roster.
12Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "wc -l /root/.agents/skills/pdf/SKILL.md && sed -n '1,360p' /root/.agents/skills/pdf/SKILL.md", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 30000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: 314 /root/.agents/skills/pdf/SKILL.md --- name: pdf description: Use this skill whenever the user wants to do anything with PDF files. This includes reading or extracting text/tables from PDFs, combining or merging multiple PDFs into one, splitting PDFs apart, rotating pages, adding watermarks, creating new PDFs, filling PDF forms, encrypting/decrypting PDFs, extracting images, and OCR on scanned PDFs to make them searchable. If the user mentions a .pdf file or asks to produce one, use this skill. license: Proprietary. LICENSE.txt has complete terms --- # PDF Processing Guide ## Overview This guide covers essential PDF processing operations using Python libraries and command-line tools. For advanced features, JavaScript libraries, and detailed examples, see REFERENCE.md. If you need to fill out a PDF form, read FORMS.md and follow its instructions. ##
… 7,528 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: "file data/* && pdfinfo data/access_services_rules_cutover_queue.pdf | sed -n '1,24p' && unzip -l data/signed_clinical_handoff_packet.docx | sed -n '1,35p'", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /bin/bash: line 1: file: command not found
14Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const results = await Promise.all([ tools.exec_command({cmd:"pdfinfo data/access_services_rules_cutover_queue.pdf | sed -n '1,30p'",workdir:"/workspace",yield_time_ms:10000,max_output_tokens:10000}), tools.exec_command({cmd:"unzip -l data/signed_clinical_handoff_packet.docx | sed -n '1,45p'",workdir:"/workspace",yield_time_ms:10000,max_output_tokens:10000}), tools.exec_command({cmd:"ls -lh data",workdir:"/workspace",yield_time_ms:10000,max_output_tokens:10000}) ]); for (const r of results) text(r.output);Output
Script completed Wall time 0.1 seconds Output: 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 size: 7822 bytes Optimized: no PDF version: 1.4 /bin/bash: line 1: unzip: command not found 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_
… 167 more characters of output in the raw trajectory.
15Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const results = await Promise.all([ tools.exec_command({cmd:"pdftotext -layout data/access_services_rules_cutover_queue.pdf -",workdir:"/workspace",yield_time_ms:10000,max_output_tokens:30000}), tools.exec_command({cmd:"pandoc --track-changes=all data/signed_clinical_handoff_packet.docx -t plain",workdir:"/workspace",yield_time_ms:10000,max_output_tokens:30000}), tools.exec_command({cmd:"python - <<'PY'\nfrom openpyxl import load_workbook\nfor f in ['data/referral_batch_export.xlsx','data/slot_inventory_and_roster.xlsx']:\n print('\\n###',f)\n wb=load_wo… 456 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.7 seconds Output: Meadowbrook Behavioral Health Access Services Cutover Queue Desk Reference - Urgent Access, Capacity, and Contact Handling Document ID ACC-UR-0529-CUTOVER Applies to EHR cutover referrals reviewed 2026-05-29 11:40 CT Owner Access Services Operations Lead Use limit Administrative routing only - not a diagnostic, medication, or treatment protocol 1. Source hierarchy and exclusions Area Operational requirement Authoritative hierarchy Use this desk reference for routing, bridge outreach, payer carve-outs, slot eligibility, and contact restrictions. Use the signed care-co… 20,555 more characters of output in the raw trajectory.
16Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "python - <<'PY'\nfrom docx import Document\np='data/signed_clinical_handoff_packet.docx'\nd=Document(p)\nprint('PARAGRAPHS')\nfor i,x in enumerate(d.paragraphs):\n if x.text.strip(): print(f'P{i}: {x.text}')\nprint('\\nTABLES',len(d.tables))\nfor ti,t in enumerate(d.tables):\n print(f'\\n## TABLE {ti} {len(t.rows)}x{len(t.columns)}')\n for ri,row in enumerate(t.rows):\n print(f'R{ri}: '+' || '.join(c.text.replace(chr(10),' / ') for c in row.cells))\nprint('\\nSECTIONS',len(d.sections))\nfor si,s in enum… 305 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.4 seconds Output: PARAGRAPHS P0: Access Services Care-Coordination Notes Packet P1: Cutover queue review window: 2026-05-29 09:30-11:40 CT | Service line: urgent access desk P2: Finalized notes below may update the cutover referral export when the client identifier matches. Draft or unsigned notes are attachment carryover only and are not finalized clinical handoffs for routing. P4: End of packet. TABLES 2 ## TABLE 0 13x2 R0: Note metadata || Care-coordination note R1: Note ID: HN-J4K9 / Client ID: BH-J4K9 / Status: SIGNED 2026-05-29 11:18 CT / Origin: LCSW ED callback || Client stated intent to act tonight and described medication stockpile at home as accessible means. Urgent-care record from 2026-05-27 shows medically attended self-harm laceration. Mobile crisis warm transfer was accepted during call. Do not place into outpatient access until crisis disposition is known.
… 5,277 more characters of output in the raw trajectory.
17The rules produce a clear first pass: one crisis transfer, four same-day reviews, seven priority-access clients, and fou…
The rules produce a clear first pass: one crisis transfer, four same-day reviews, seven priority-access clients, and four routine/waitlist cases. I’m now checking source-file edge cases (hidden data, tracked content, slot-status details) before locking reservations and contact caveats.
18Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "python - <<'PY'\nfrom zipfile import ZipFile\nfrom lxml import etree\nfrom openpyxl import load_workbook\np='data/signed_clinical_handoff_packet.docx'\nwith ZipFile(p) as z:\n names=z.namelist()\n print('DOCX XML parts:', ', '.join(n for n in names if n.startswith('word/') and n.endswith('.xml')))\n for n in [x for x in names if x.startswith('word/') and x.endswith('.xml')]:\n b=z.read(n)\n for tag in (b'<w:ins',b'<w:del',b'<w:commentRangeStart'):\n if tag in b: print(n, tag.decode(), b.count(… 941 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.5 seconds Output: DOCX XML parts: word/document.xml, word/styles.xml, word/stylesWithEffects.xml, word/settings.xml, word/webSettings.xml, word/fontTable.xml, word/theme/theme1.xml, word/numbering.xml, word/footer1.xml word/styles.xml <w:ins 702 word/stylesWithEffects.xml <w:ins 702 data/referral_batch_export.xlsx Referral_Export state= visible formulas= [] comments= [] hidden_rows= [] hidden_cols= [] autofilter= A1:AD17 Batch_Context state= visible formulas= [] comments= [] hidden_rows= [] hidden_cols= [] autofilter= A1:B7 Extract_Control state= visible formulas= [] comments= [] hidden_rows= [] hidden_cols= [] autofilter= A1:B7 data/slot_inventory_and_roster.xlsx Open_Slot_Inventory state= visible formulas= [] comments= [] hidden_rows= [] hidden_cols= [] autofilter= A1:O17 Capacity_Addendum_Index state= visible formulas= [] comments= [] hidden_rows= [] hidden_cols= [] au
… 127 more characters of output in the raw trajectory.
19Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "if [ -d output ]; then find output -maxdepth 1 -type f -printf '%f\\n' | sort; else echo 'OUTPUT_DIR_ABSENT'; fi && command -v libreoffice || true && command -v soffice || true && command -v node || true && command -v python", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: OUTPUT_DIR_ABSENT /usr/bin/libreoffice /usr/bin/soffice /root/.nvm/versions/node/v22.23.2/bin/node /usr/local/bin/python
20Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "date -d '2026-05-29' '+%A' && date -d '2026-05-30' '+%A' && date -d '2026-05-31' '+%A' && date -d '2026-06-01' '+%A' && date -d '2026-06-02' '+%A' && date -d '2026-06-03' '+%A'", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.1 seconds Output: Friday Saturday Sunday Monday Tuesday Wednesday
21Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "rg --files /root/.agents/skills/xlsx /root/.agents/skills/docx | sort | sed -n '1,160p'", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 12000 }); 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/helpers/__init__.py /root/.agents/skills/docx/scripts/office/helpers/merge_runs.py /root/.agents/skills/docx/scripts/office/helpers/simplify_redlines.py /root/.agents/skills/docx/scripts/office/pack.py /root/.agents/skills/docx/scripts/office/schemas/ISO-IEC29500-4_2016/dml-chart.xsd /root/.agents/skills/docx/scripts/office/schemas/ISO-IEC29500-4_2016/dml-chartDrawing.xsd /root/.agents/skills/docx/scripts/office/schemas/ISO-IEC29500-4_2016/dml-diagram.xsd /root/.agents/skills/docx/scripts/office/schemas/ISO-IEC29500-4_2016/dml-lockedCanvas.xsd /root/.agents/skills/docx/scripts/office/schemas/ISO-IEC29500
… 8,176 more characters of output in the raw trajectory.
22Shell1
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-ok' : 'no')\"", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.1 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 v22.23.223Shell1
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: 12000 }); text(r.output);Output
Script completed Wall time 1.6 seconds Output: added 22 packages in 1s 1 package is looking for funding run `npm fund` for details
24Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "npm root -g && NODE_PATH=\"$(npm root -g)\" node -e \"const d=require('docx'); console.log(d.Document ? 'docx-ok' : 'no')\"", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.3 seconds Output: /root/.nvm/versions/node/v22.23.2/lib/node_modules docx-ok
25exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: .tmp_build/build_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path(\"/workspace/output/routing_reconciliation_workbook.xlsx\")\n+\n+NAVY = \"17365D\"\n+TEAL = \"0F6B68\"\n+BLUE = \"DDEBF7\"\n+PALE_BLUE = \"EAF2F8\"\n+AMBER = \"FFF2CC\"\n+PAL
Arguments
const patch = "*** Begin Patch\n*** Add File: .tmp_build/build_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path(\"/workspace/output/routing_reconciliation_workbook.xlsx\")\n+\n+NAVY = \"17365D\"\n+TEAL = \"0F6B68\"\n+BLUE = \"DDEBF7\"\n+PALE_BLUE = \"EAF2F8\"\n+AMBER = \"FFF2CC\"\n+PAL
… 49,987 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}26exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: .tmp_build/build_memo.js\n+const fs = require(\"fs\");\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ HeadingLevel,\n+ LevelFormat,\n+ PageNumber,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableLayoutType,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+} = require(\"docx\");\n+\n+const OUT = \"/workspace/output/access_reconciliation_memo.docx\";\n+const W = 10800;\n+const C = {\n+ navy: \"17365D\",\n+ t
Arguments
const patch = "*** Begin Patch\n*** Add File: .tmp_build/build_memo.js\n+const fs = require(\"fs\");\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ HeadingLevel,\n+ LevelFormat,\n+ PageNumber,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableLayoutType,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+} = require(\"docx\");\n+\n+const OUT = \"/workspace/output/access_reconciliation_memo.docx\";\n+const W = 10800;\n+const C = {\n+ navy: \"17365D\",\n+ t… 23,245 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}27The reconciliation is now locked: nine eligible high-acuity assignments totaling 480 clinical minutes, two unresolved pr…
The reconciliation is now locked: nine eligible high-acuity assignments totaling 480 clinical minutes, two unresolved priority cases, four bridge flags, and four protected-contact flags. I’m building both deliverables and will validate formulas, document structure, pagination, and the output directory contents.
28Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const results = await Promise.all([ tools.exec_command({cmd:"python .tmp_build/build_workbook.py",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:20000}), tools.exec_command({cmd:"NODE_PATH=\"$(npm root -g)\" node .tmp_build/build_memo.js",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:20000}) ]); for (const r of results) text(JSON.stringify({exit_code:r.exit_code,output:r.output,wall_time_seconds:r.wall_time_seconds}));Output
Script completed Wall time 0.6 seconds Output: exit_code: 1 output: | Traceback (most recent call last): File "/workspace/.tmp_build/build_workbook.py", line 353, in <module> routing.column_dimensions[routing.cell(1, i).column_letter].width = w ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ AttributeError: 'MergedCell' object has no attribute 'column_letter' wall_time_seconds: 0.405555295 exit_code: 0 output: "" wall_time_seconds: 0.24494939929exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: .tmp_build/build_workbook.py\n@@\n from openpyxl import Workbook\n from openpyxl.formatting.rule import FormulaRule\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@@\n for i, w in enumerate(widths, 1):\n- routing.column_dimensions[routing.cell(1, i).column_letter].width = w\n+ routing.column_dimensions[get_column_letter(i)].width = w\n@@\n for i, w in enumerate([19, 22, 13, 28, 14, 1
Arguments
const patch = "*** Begin Patch\n*** Update File: .tmp_build/build_workbook.py\n@@\n from openpyxl import Workbook\n from openpyxl.formatting.rule import FormulaRule\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@@\n for i, w in enumerate(widths, 1):\n- routing.column_dimensions[routing.cell(1, i).column_letter].width = w\n+ routing.column_dimensions[get_column_letter(i)].width = w\n@@\n for i, w in enumerate([19, 22, 13, 28, 14, 1
… 1,119 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: "python .tmp_build/build_workbook.py", workdir: "/workspace", yield_time_ms: 30000, max_output_tokens: 20000 }); text(r.output);Output
Script completed Wall time 0.6 seconds Output:
31Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const results = await Promise.all([ tools.exec_command({cmd:"python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:20000}), tools.exec_command({cmd:"python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:20000}), tools.exec_command({cmd:"find output -maxdepth 1 -type f -printf '%f\\t%s bytes\\n' | sort",workdir:"/workspace",yield_time_ms:10000,max_output_… 65 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 3.1 seconds Output: Paragraphs: 0 → 170 (+170) All validations PASSED! status: success total_errors: 0 error_summary: {} total_formulas: 81 access_reconciliation_memo.docx 17841 bytes routing_reconciliation_workbook.xlsx 27676 bytes32Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "python - <<'PY'\nfrom openpyxl import load_workbook\np='output/routing_reconciliation_workbook.xlsx'\nwbv=load_workbook(p,data_only=True,read_only=True)\nws=wbv['Cutover Summary']\nprint('SUMMARY METRICS')\nfor c in range(1,9): print(ws.cell(8,c).value, ws.cell(9,c).value)\nprint('CONTROL TOTAL',ws['G22'].value)\nprint('SHEETS',wbv.sheetnames)\nwr=wbv['Client Routing']\nfrom collections import Counter\nprint('PATHS',Counter(wr.cell(r,12).value for r in range(5,21)))\nprint('RESERVED',[(wr.cell(r,1).value,wr.cell(r,16).value,w… 1,127 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.1 seconds Output: SUMMARY METRICS Total clients 16 Escalation queue 5 Priority clients 7 Priority placed 5 Unresolved priority 2 Bridge outreach 4 Restricted contact 4 Reserved minutes 480 CONTROL TOTAL 480 SHEETS ['Cutover Summary', 'Client Routing', 'Slot Decisions', 'Bridge Outreach', 'Protected Contact', 'Source Controls'] PATHS Counter({'Priority access': 7, 'Same-day clinician review': 4, 'Routine / waitlist': 4, 'Crisis transfer': 1}) RESERVED [('BH-C3T8', 'S-ASR-3P1', datetime.datetime(2026, 5, 29, 15, 10), 45), ('BH-P8A4', 'S-YSF-A7Q', datetime.datetime(2026, 5, 29, 13, 5), 45), ('BH-M2N7', 'S-PSY-9D2', datetime.datetime(2026, 5, 29, 13, 30), 45), ('BH-L0R6', 'S-PERI-2B', datetime.datetime(2026, 5, 29, 14, 20), 45), ('BH-X1D5', 'P-PDT-6N4', datetime.datetime(2026, 5, 31, 10, 40), 60), ('BH-R6W8', 'P-ADT-K3M', datetime.datetime(2026, 6, 1, 9, 20), 60), ('BH-Q2T0', 'P… 874 more characters of output in the raw trajectory.
33Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "mkdir -p .tmp_build/render_docx .tmp_build/render_xlsx && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir .tmp_build/render_docx output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir .tmp_build/render_xlsx output/routing_reconciliation_workbook.xlsx && pdfinfo .tmp_build/render_docx/access_reconciliation_memo.pdf | rg 'Pages|Page size|File size' && pdfinfo .tmp_build/render_xlsx/routing_reconciliation_workbo… 149 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.0 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /workspace/.tmp_build/render_docx/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 -> /workspace/.tmp_build/render_xlsx/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Pages: 3 Page size: 612 x 792 pts (letter) File size: 121924 bytes Pages: 53 Page size: 595.304 x 841.89 pts (A4) File size: 423495 bytes
34Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "pdftoppm -png -r 120 .tmp_build/render_docx/access_reconciliation_memo.pdf .tmp_build/render_docx/page >/dev/null 2>&1 && ls -lh .tmp_build/render_docx/page-*.png", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.9 seconds Output: -rw-r--r-- 1 root root 371K Aug 20 02:00 .tmp_build/render_docx/page-1.png -rw-r--r-- 1 root root 340K Aug 20 02:00 .tmp_build/render_docx/page-2.png -rw-r--r-- 1 root root 74K Aug 20 02:00 .tmp_build/render_docx/page-3.png
35exec1
Tool execution only — no assistant text
execconst results = await Promise.all([ tools.view_image({path:"/workspace/.tmp_build/render_docx/page-1.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/page-2.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/page-3.png",detail:"original"}) ]); for (const r of results) image(r.image_url);
Arguments
const results = await Promise.all([ tools.view_image({path:"/workspace/.tmp_build/render_docx/page-1.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/page-2.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/page-3.png",detail:"original"}) ]); for (const r of results) image(r.image_url);Output
Script completed Wall time 0.0 seconds Output:
… 1,068,848 more characters of output in the raw trajectory.
36The memo’s content and tables are accurate, but rendering revealed an avoidable nearly blank third page. I’m tightening…
The memo’s content and tables are accurate, but rendering revealed an avoidable nearly blank third page. I’m tightening the lower-page table spacing so the final control notes stay with the rest of the memo, then I’ll re-render and revalidate.
37exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: .tmp_build/build_memo.js\n@@\n function heading(text, level = HeadingLevel.HEADING_1) {\n@@\n- spacing: { before: level === HeadingLevel.HEADING_1 ? 220 : 150, after: 90, line: 260 },\n+ spacing: { before: level === HeadingLevel.HEADING_1 ? 165 : 125, after: 65, line: 245 },\n@@\n function callout(text, fill = C.paleBlue) {\n@@\n- rows: [new TableRow({ cantSplit: true, children: [cell([para([run(text, { bold: true, color: C.navy, size: 18 })], { after: 0, line: 230 })], W, { fill, padY: 110, padX: 150 })] })],\n+
Arguments
const patch = "*** Begin Patch\n*** Update File: .tmp_build/build_memo.js\n@@\n function heading(text, level = HeadingLevel.HEADING_1) {\n@@\n- spacing: { before: level === HeadingLevel.HEADING_1 ? 220 : 150, after: 90, line: 260 },\n+ spacing: { before: level === HeadingLevel.HEADING_1 ? 165 : 125, after: 65, line: 245 },\n@@\n function callout(text, fill = C.paleBlue) {\n@@\n- rows: [new TableRow({ cantSplit: true, children: [cell([para([run(text, { bold: true, color: C.navy, size: 18 })], { after: 0, line: 230 })], W, { fill, padY: 110, padX: 150 })] })],\n+… 2,506 more characters of arguments in the raw trajectory.
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: "NODE_PATH=\"$(npm root -g)\" node .tmp_build/build_memo.js && python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir .tmp_build/render_docx output/access_reconciliation_memo.docx && pdfinfo .tmp_build/render_docx/access_reconciliation_memo.pdf | rg 'Pages|Page size|File size'", workdir: "/workspace", yield_time_ms: 30000, max_output_tokens: 20000 }); text(r.output);Output
Script completed Wall time 2.4 seconds Output: Paragraphs: 0 → 170 (+170) All validations PASSED! Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /workspace/.tmp_build/render_docx/access_reconciliation_memo.pdf using filter : writer_pdf_Export Overwriting: /workspace/.tmp_build/render_docx/access_reconciliation_memo.pdf Pages: 2 Page size: 612 x 792 pts (letter) File size: 120465 bytes
39Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "pdftoppm -f 1 -l 2 -png -r 120 .tmp_build/render_docx/access_reconciliation_memo.pdf .tmp_build/render_docx/final >/dev/null 2>&1 && ls -lh .tmp_build/render_docx/final-*.png", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script completed Wall time 0.8 seconds Output: -rw-r--r-- 1 root root 370K Aug 20 02:01 .tmp_build/render_docx/final-1.png -rw-r--r-- 1 root root 338K Aug 20 02:01 .tmp_build/render_docx/final-2.png
40exec1
Tool execution only — no assistant text
execconst results = await Promise.all([ tools.view_image({path:"/workspace/.tmp_build/render_docx/final-1.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/final-2.png",detail:"original"}) ]); for (const r of results) image(r.image_url);
Arguments
const results = await Promise.all([ tools.view_image({path:"/workspace/.tmp_build/render_docx/final-1.png",detail:"original"}), tools.view_image({path:"/workspace/.tmp_build/render_docx/final-2.png",detail:"original"}) ]); for (const r of results) image(r.image_url);Output
Script completed Wall time 0.0 seconds Output:
… 964,190 more characters of output in the raw trajectory.
41exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: .tmp_build/build_workbook.py\n@@\n for ws in wb.worksheets:\n ws.sheet_view.zoomScale = 85 if ws.title in {\"Client Routing\", \"Slot Decisions\"} else 95\n+ ws.sheet_properties.pageSetUpPr.fitToPage = True\n+ ws.page_setup.orientation = \"landscape\"\n+ ws.page_setup.paperSize = ws.PAPERSIZE_LETTER\n+ ws.page_setup.fitToWidth = 2 if ws.title in {\"Client Routing\", \"Slot Decisions\"} else 1\n+ ws.page_setup.fitToHeight = 0\n ws.page_margins.left = 0.25\n@@\n ws.sheet_view.sh
Arguments
const patch = "*** Begin Patch\n*** Update File: .tmp_build/build_workbook.py\n@@\n for ws in wb.worksheets:\n ws.sheet_view.zoomScale = 85 if ws.title in {\"Client Routing\", \"Slot Decisions\"} else 95\n+ ws.sheet_properties.pageSetUpPr.fitToPage = True\n+ ws.page_setup.orientation = \"landscape\"\n+ ws.page_setup.paperSize = ws.PAPERSIZE_LETTER\n+ ws.page_setup.fitToWidth = 2 if ws.title in {\"Client Routing\", \"Slot Decisions\"} else 1\n+ ws.page_setup.fitToHeight = 0\n ws.page_margins.left = 0.25\n@@\n ws.sheet_view.sh… 297 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}42Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "python .tmp_build/build_workbook.py && python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60 && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir .tmp_build/render_xlsx output/routing_reconciliation_workbook.xlsx && pdfinfo .tmp_build/render_xlsx/routing_reconciliation_workbook.pdf | rg 'Pages|Page size|File size'", workdir: "/workspace", yield_time_ms: 30000, max_output_tokens: 20000 }); text(r.output);Output
Script completed Wall time 3.0 seconds Output: { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 81 } Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/routing_reconciliation_workbook.xlsx as a Calc document -> /workspace/.tmp_build/render_xlsx/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Overwriting: /workspace/.tmp_build/render_xlsx/routing_reconciliation_workbook.pdf Pages: 8 Page size: 792 x 612 pts (letter) File size: 324735 bytes43Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "pdftoppm -png -r 110 .tmp_build/render_xlsx/routing_reconciliation_workbook.pdf .tmp_build/render_xlsx/final >/dev/null 2>&1 && ls -lh .tmp_build/render_xlsx/final-*.png", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 12000 }); text(r.output);Output
Script completed Wall time 0.9 seconds Output: -rw-r--r-- 1 root root 134K Aug 20 02:01 .tmp_build/render_xlsx/final-1.png -rw-r--r-- 1 root root 97K Aug 20 02:01 .tmp_build/render_xlsx/final-2.png -rw-r--r-- 1 root root 76K Aug 20 02:01 .tmp_build/render_xlsx/final-3.png -rw-r--r-- 1 root root 88K Aug 20 02:01 .tmp_build/render_xlsx/final-4.png -rw-r--r-- 1 root root 93K Aug 20 02:01 .tmp_build/render_xlsx/final-5.png -rw-r--r-- 1 root root 39K Aug 20 02:01 .tmp_build/render_xlsx/final-6.png -rw-r--r-- 1 root root 40K Aug 20 02:01 .tmp_build/render_xlsx/final-7.png -rw-r--r-- 1 root root 75K Aug 20 02:01 .tmp_build/render_xlsx/final-8.png
44exec1
Tool execution only — no assistant text
execconst results = await Promise.all( [1,2,3,4,5,6,7,8].map(i => tools.view_image({path:`/workspace/.tmp_build/render_xlsx/final-${i}.png`,detail:"original"})) ); for (const r of results) image(r.image_url);
Arguments
const results = await Promise.all( [1,2,3,4,5,6,7,8].map(i => tools.view_image({path:`/workspace/.tmp_build/render_xlsx/final-${i}.png`,detail:"original"})) ); for (const r of results) image(r.image_url);Output
Script completed Wall time 0.1 seconds Output:
… 871,414 more characters of output in the raw trajectory.
45Both files now render cleanly: the memo fits on two pages, and the workbook has a one-page action summary plus filtered…
Both files now render cleanly: the memo fits on two pages, and the workbook has a one-page action summary plus filtered operational detail sheets. Final checks are confirming Office-package integrity, formula values, and that
/workspace/output/contains only the two requested deliverables.46Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const results = await Promise.all([ tools.exec_command({cmd:"python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:12000}), tools.exec_command({cmd:"python /root/.agents/skills/xlsx/scripts/office/validate.py output/routing_reconciliation_workbook.xlsx",workdir:"/workspace",yield_time_ms:30000,max_output_tokens:12000}), tools.exec_command({cmd:"python - <<'PY'\nfrom pathlib import Path\nfrom zipfile import ZipFile\nfrom openpyxl import load_workbook\nout=Path… 738 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.2 seconds Output: Paragraphs: 0 → 170 (+170) All validations PASSED! Error: Validation not supported for file type .xlsx FINAL_PACKAGE_OK access_reconciliation_memo.docx 17850 bytes routing_reconciliation_workbook.xlsx 31898 bytes
47Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "rm -rf /workspace/.tmp_build && find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort", workdir: "/workspace", yield_time_ms: 10000, max_output_tokens: 10000 }); text(r.output);Output
Script failed Wall time 0.0 seconds Output: Script error: exec_command failed for `/bin/bash -lc "rm -rf /workspace/.tmp_build && find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort"`: CreateProcess { message: "Rejected(\"`/bin/bash -lc \\\"rm -rf /workspace/.tmp_build && find /workspace/output -maxdepth 1 -type f -printf '%f\\\\\\\\n' | sort\\\"` rejected: rm -f style commands are not permitted. Use a safer approach\")" }48Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({ cmd: "if [ -e /tmp/mbh_cutover_build_20260820 ]; then echo 'TEMP_DEST_EXISTS'; else mv /workspace/.tmp_build /tmp/mbh_cutover_build_20260820; fi\nfind /workspace/output -maxdepth 1 -type f -printf '%f\\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 routing_reconciliation_workbook.xlsx
49Completed and validated both deliverables: - [Access reconciliation memo](/workspace/output/access_reconciliation_memo.d…
Completed and validated both deliverables:
- Access reconciliation memo
- Routing reconciliation workbook
Reconciled: 5 escalations, 5 priority placements, 2 unresolved priority cases, 4 bridge flags, and 480 reserved clinical minutes.
1 failure mode across 1 verifier failures
1Off-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.