task_53Health care and social assistance
All trialsGPT-5.6 SolcodexTrial 04
Trial reward
GPT-5.6 SolFail
Trial 04 — 4th of 4 by reward score. This model averages 92.8% across 4 trials on this task.
- 12/13Core verifiers passed
- 15/17All verifiers passed
- 1Core failed
- 32Turns
- 17Tool calls
- $1.79Cost
- 15.0mTime
- 33kOutput tokens
Missed 1 of 13 core — routine_waitlist_edge_cases, plus 1 secondary.
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_casesLLMFail
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
Failure mode Required Rationale or Authority Statement Omitted
Why it failedAll four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
Justification
All four clients are routed to 'Routine / waitlist' with no reserved high-acuity slot, but not all rubric-required exclusion bases are fully evidenced. BH-A8U2 is described only as 'urgent care and non-behavioral ED' with no explicit urgent-care-insomnia detail, and BH-N4A1 says 'tinnitus/hearing loss' rather than explicitly tinnitus/progressive hearing loss.
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. In addition to escalation, reservations, unresolved priority, bridge outreach, and protected-contact caveats, it adds extra operational sections—'6. Routine / waitlist dispositions' and '7. Release controls'—with directives like 'Use signed handoffs only when finalized...' and 'Do not count P-GRP-4MJ...'. It does avoid using held/QA-pending slots and avoids treatment advice, but the extra side-action sections fail the rubric.
2 deliverables · what this trial produced
MEADOWBROOK BEHAVIORAL HEALTH ACCESS SERVICES
Friday Cutover Queue Reconciliation
Urgent-access scheduling huddle memo
To
As of
Batch
Bridge threshold
Urgent-access lead
2026-05-29 11:40 CT
16 cutover referrals
2026-06-01 11:40 CT
Purpose
Administrative routing and capacity reconciliation using only the supplied access desk reference, referral export, signed care-coordination packet, and slot inventory. The desk reference controls routing, carve-outs, bridge outreach, slot eligibility, and protected contacts.
16
referrals
1
crisis transfer
4
same-day reviews
7
priority access
4
routine / waitlist
9
slots reserved
2
unresolved priority
480
reserved clinical minutes
Huddle line: 4 bridge-outreach flags; 4 restricted-contact flags. One draft/unsigned note (BH-T9Y6) was ignored.
1. Escalation queue — act before ordinary scheduling
Policy order is crisis first, then same-day Triggers A, B, C, and D. Priority-only clients are not included in this escalation list.
Order / client
Controlling routing facts
Immediate action / reservation
Remaining constraint
1 · BH-J4K9
Crisis transfer
Signed 11:18 CT: current intent plus accessible medication stockpile; documented mobile-crisis warm transfer.
Do not reserve outpatient capacity. Continue crisis transfer; wait for post-crisis disposition before outpatient access.
Client-only access outreach. Crisis cases are excluded from bridge counts.
2 · BH-C3T8
Same-day · Trigger A
Current death/self-harm thoughts, medication method/accessible means considered 18 days ago, and no documented safety plan.
Reserve S-ASR-3P1 — 2026-05-29 15:10 CT, East, in-person Adult Safety Review, 45 min.
No remaining contact restriction.
3 · BH-P8A4
Same-day · Trigger B
Age 16; self-injury 6 days ago; current death/self-harm thoughts.
Reserve S-YSF-A7Q — 2026-05-29 13:05 CT, North, in-person Youth Safety Review, 45 min. Review may proceed while guardian verification is pending.
School counselor receives scheduling status only. Later therapy requires verified authority.
4 · BH-M2N7
Same-day · Trigger C
Active command content to step into traffic; client denies intent and accessible means.
Reserve S-PSY-9D2 — 2026-05-29 13:30 CT, East, in-person Psychosis Safety Review, 45 min.
No remaining contact restriction.
5 · BH-L0R6
Same-day · Trigger D
Eight weeks postpartum; intrusive infant-harm thoughts, 2.5 hours sleep/night, and no confirmed reliable support.
Reserve S-PERI-2B — 2026-05-29 14:20 CT, Central telehealth Perinatal Rapid Review, Spanish, 45 min.
Contact client directly or OB social work only; do not contact partner.
2. High-acuity clinical reservations — ordered by start time
All nine rows are Open with blank hold code and match the client’s age band, specialty/program, payer/plan, language, modality, telehealth consent, site, and consent/contact rules. Slot durations were not changed.
Start CT
Client
Pathway
Slot / clinical contact
Min
05/29 13:05
BH-P8A4
Same-day
S-YSF-A7Q · Youth Safety Review · North · in person
45
05/29 13:30
BH-M2N7
Same-day
S-PSY-9D2 · Psychosis Safety Review · East · in person
45
05/29 14:20
BH-L0R6
Same-day
S-PERI-2B · Perinatal Rapid Review · Central · telehealth · Spanish
45
05/29 15:10
BH-C3T8
Same-day
S-ASR-3P1 · Adult Safety Review · East · in person
45
05/31 10:40
BH-X1D5
Priority
P-PDT-6N4 · Post-Discharge Transition · East · in person
60
06/01 09:20
BH-R6W8
Priority
P-ADT-K3M · Adult Therapy Intake · East · telehealth
60
06/01 10:15
BH-T9Y6
Priority
P-ADT-TRI · Perinatal-competent Adult Therapy Intake · East · telehealth
60
06/02 08:45
BH-Z0B4
Priority
P-ADT-V4R · Adult Therapy Intake · West · in person
60
06/02 10:30
BH-Q2T0
Priority
P-PER-F8Q · Perinatal Follow-Up · Central · telehealth
60
Reserved clinical minutes: 480
Not counted: crisis transfer, routine/waitlist cases, nonclinical group orientation, and all blocked/held/tentative/QA-release-pending rows.
3. Unresolved priority cases
These clients meet priority-access criteria but no eligible clinical appointment can be reserved from the current inventory.
Client / priority basis
Why no slot can be reserved
Required operational action
BH-S5Q2
Stable moderate withdrawal
No eligible Spanish/Riverbend SUD clinical slot. P-SUD-7CX is Hold with INTERPRETER-UNCONFIRMED; P-SUD-1FZ is open but English-only and excludes Riverbend.
Bridge outreach is mandatory for SUD priority. Outreach must be Spanish-capable; do not use the held slot.
BH-E7V1
Youth self-injury 21 days ago; no current thoughts
P-YTH-H5L otherwise matches, but verified guardian/caregiver authority is required for priority youth therapy and is not verified.
Bridge outreach is required. Verify authority before reservation; no voicemail/details to stepfather; counselor receives scheduling status only.
4. Bridge-outreach queue
Bridge outreach applies to non-crisis priority clients with no eligible clinical reservation or a first scheduled clinical contact after the threshold. Stable moderate-withdrawal/SUD priority is counted regardless of timing.
Client
Bridge trigger
Reserved clinical contact
Constraint / action
BH-S5Q2
No eligible slot; all stable moderate-withdrawal/SUD priority cases qualify
None
Spanish-capable clinical outreach required.
BH-E7V1
No eligible clinical appointment can be reserved
None
Honor stepfather/counselor limits while authority is verified.
BH-Z0B4
First clinical contact is after 2026-06-01 11:40 CT
P-ADT-V4R · 06/02 08:45
Keep reserved contact in person; Northstar excludes telehealth.
BH-Q2T0
First clinical contact is after 2026-06-01 11:40 CT
P-PER-F8Q · 06/02 10:30
Bridge pending perinatal follow-up.
5. Protected-contact caveats
Carry these restrictions into outreach and the appointment handoff. Language need or lack of telehealth consent alone is not a restricted-contact flag.
Client
Permitted / required contact
Prohibited / limited contact and scheduling effect
BH-J4K9
Client-only access outreach; documented mobile-crisis handoff may continue.
No ordinary family/collateral outreach; no outpatient slot until crisis disposition.
BH-P8A4
Same-day youth safety review may proceed. School counselor gets scheduling status only.
Do not use unverified guardian authority for later youth therapy.
BH-L0R6
Contact client directly or OB social work only; Spanish clinical contact required.
Do not contact partner.
BH-E7V1
School counselor gets scheduling status only; coordinate authority verification without details.
No voicemail or details to stepfather until verification.
6. Routine / waitlist dispositions
Client
Why no high-acuity pathway or slot
BH-V9F3
Active outside therapist seen within 72 hours and existing psychiatrist; no crisis/same-day trigger. High score remains routine/waitlist under the coverage rule.
BH-N4A1
Signed clarification identifies tinnitus/hearing loss, not hallucination or command content; no other high-action criterion.
BH-A8U2
Loaded encounters were urgent care and non-behavioral ED; no behavioral-health ED visit or other high-action criterion remains.
BH-D5H0
ED observation did not become psychiatric inpatient admission; observation does not qualify as inpatient discharge.
7. Release controls
Use signed handoffs only when finalized in the 2026-05-29 09:30–11:40 CT window for the same client. Fifteen signed notes met the gate; HN-T9Y6-DRAFT did not.
Do not use S-ASR-HOLD-8MV, P-SUD-7CX, or P-POST-HLD-6R2 because status and/or hold code fails the release gate.
Do not count P-GRP-4MJ as clinical contact or reserved clinical minutes; it is nonclinical orientation.
CedarCare Central adult therapy remains barred; Northstar Select remains in-person only; Spanish-required cases remain Spanish-only for clinical contact.
Administrative routing only — no diagnostic, medication, or treatment recommendation is made in this memo.
Summary
| MEADOWBROOK BEHAVIORAL HEALTH ACCESS SERVICES | |||
|---|---|---|---|
| Friday Cutover Queue — Routing Reconciliation | Batch review: 2026-05-29 11:40 CT | |||
| Total referrals | 16 | Huddle-ready actions | |
| Crisis transfers | 1 | Crisis first: BH-J4K9 remains outside outpatient scheduling until post-crisis disposition. | |
| Same-day reviews | 4 | Same-day policy order: BH-C3T8, BH-P8A4, BH-M2N7, BH-L0R6. | |
| Priority access | 7 | Unresolved priority: BH-S5Q2 and BH-E7V1. | |
| Routine / waitlist | 4 | Bridge outreach: BH-S5Q2, BH-E7V1, BH-Z0B4, BH-Q2T0. | |
| High-acuity reservations | 9 | Protected contact: BH-J4K9, BH-P8A4, BH-L0R6, BH-E7V1. | |
| Unresolved priority | 2 | ||
| Bridge-outreach flags | 4 | Control rules applied | |
| Restricted-contact flags | 4 | Desk reference ACC-UR-0529-CUTOVER controls routing, carve-outs, bridge rules, slot matching, and contacts. | |
| Reserved clinical minutes | 480 | Only signed notes finalized 2026-05-29 09:30–11:40 CT override the matching export row; the BH-T9Y6 draft was ignored. | |
| Only Open slots with blank hold code were eligible; nonclinical orientation was not counted. | |||
| Bridge threshold: 2026-06-01 11:40 CT. |
Routing Decisions
| Client ID | Referral source | Age | Raw triage band | Authoritative routing source | Final pathway | Highest-action basis | Escalation order | Escalate before ordinary scheduling | Reserved slot ID | Start CT | Site | Program / clinical contact | Modality | Minutes | Reservation decision | Slot eligibility / reservation rationale | Unresolved priority | Bridge outreach | Bridge basis | Restricted contact | Protected-contact instruction | Remaining scheduling / contact constraint |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BH-J4K9 | ED callback | 34 | Moderate | HN-J4K9 — signed 2026-05-29 11:18 CT | Crisis transfer | Current intent plus accessible medication stockpile; documented mobile-crisis warm transfer. | 1 | Yes | 52 | Crisis exclusion: do not place into outpatient access until post-crisis disposition is known. | No | No | Crisis transfers are excluded from bridge counts. | Yes | Access outreach to client only; use the documented mobile-crisis handoff. No ordinary family/collateral outreach. | Outpatient scheduling remains on hold until post-crisis disposition is known. | ||||||
| BH-C3T8 | Primary care warm handoff | 47 | High | HN-C3T8 — signed 2026-05-29 10:02 CT | Same-day clinician review | Trigger A: current death/self-harm thoughts, recent medication method/accessible means, and no safety plan. | 2 | Yes | S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Reserved | Open/blank hold; adult safety specialty; Riverbend, English, age, site, and modality match. | No | No | Same-day review clients are excluded from bridge counts. | No | Contact client under ordinary access workflow. | None after same-day escalation handoff. |
| BH-P8A4 | School referral | 16 | High | HN-P8A4 — signed 2026-05-29 10:41 CT | Same-day clinician review | Trigger B: client under 18, self-injury 6 days ago, and current death/self-harm thoughts. | 3 | Yes | S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Reserved | Open/blank hold; youth safety specialty; Riverbend, English, age band, and North site match. Safety review may proceed while guardian verification is pending. | No | No | Same-day review clients are excluded from bridge counts. | Yes | Guardian authority is not current; school counselor may receive scheduling status only. | Any later routine/priority youth therapy intake must wait for verified guardian/caregiver authority. |
| BH-M2N7 | Self referral | 22 | High | HN-M2N7 — signed 2026-05-29 10:36 CT | Same-day clinician review | Trigger C: active command content to self-harm without intent or accessible means. | 4 | Yes | S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Reserved | Open/blank hold; psychosis safety specialty; self-pay, English, adult age, and East site match. | No | No | Same-day review clients are excluded from bridge counts. | No | Contact client under ordinary access workflow. | None after same-day escalation handoff. |
| BH-L0R6 | OB clinic | 29 | Moderate | HN-L0R6 — signed 2026-05-29 10:58 CT | Same-day clinician review | Trigger D: postpartum intrusive infant-harm thoughts plus 2.5 hours sleep and no confirmed reliable support. | 5 | Yes | S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Reserved | Open/blank hold; perinatal rapid specialty; Riverbend, Spanish, adult age, telehealth consent, and Central site match. | No | No | Same-day review clients are excluded from bridge counts. | Yes | Spanish clinical contact required. Contact client directly or OB social work only; do not contact partner. | Preserve Spanish modality and partner restriction throughout the handoff. |
| BH-X1D5 | Inpatient discharge planning | 41 | Moderate | HN-X1D5 — signed 2026-05-29 09:55 CT | Priority access | Psychiatric inpatient discharge on 2026-05-24, within 7 calendar days of batch review. | 54 | P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Reserved | Open/blank hold; recent-discharge transition specialty; Riverbend, English, adult age, and East site match. | No | No | First clinical contact is before 2026-06-01 11:40 CT. | No | Contact client under ordinary access workflow. | None. | |
| BH-S5Q2 | Primary care warm handoff | 58 | High | HN-S5Q2 — signed 2026-05-29 10:24 CT | Priority access | Stable moderate alcohol-withdrawal presentation. | 54 | 113 | Spanish/Riverbend SUD slot P-SUD-7CX is Hold with an interpreter hold code; open P-SUD-1FZ is English-only and does not accept Riverbend. | Yes | Yes | All stable moderate-withdrawal/SUD priority cases require bridge outreach; no eligible slot is reserved. | No | Clinical outreach must be Spanish-capable; interpreter need is not itself a restricted-contact flag. | Spanish-capable Riverbend SUD clinical capacity is unavailable in the current inventory. | |||||||
| BH-R6W8 | Self referral | 37 | Moderate | HN-R6W8 — signed 2026-05-29 10:50 CT | Priority access | GAD-7 19 with severe functional impairment and no behavioral-health provider seen within 72 hours. | 54 | P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Reserved | Open/blank hold; East adult therapy is allowed for CedarCare; English/adult match and telehealth consent is confirmed. Central CedarCare adult therapy is barred. | No | No | First clinical contact is before 2026-06-01 11:40 CT. | No | Contact client under ordinary access workflow. | Do not substitute Central adult therapy under the CedarCare carve-out. | |
| BH-E7V1 | School referral | 14 | High | HN-E7V1 — signed 2026-05-29 11:05 CT | Priority access | Youth self-injury about 21 days ago with no current self-harm thoughts. | 54 | 113 | P-YTH-H5L otherwise matches, but priority youth therapy requires verified guardian/caregiver authority; authority is not verified. | Yes | Yes | No eligible clinical appointment can be reserved. | Yes | No voicemail or details to stepfather until authority is confirmed; school counselor may receive scheduling status only. | Verify guardian/caregiver authority before reserving youth therapy; bridge outreach must honor the protected-contact limits. | |||||||
| BH-Q2T0 | OB clinic | 31 | Moderate | HN-Q2T0 — signed 2026-05-29 10:47 CT | Priority access | Postpartum EPDS 17 without a same-day perinatal trigger. | 54 | P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Reserved | Open/blank hold; perinatal follow-up specialty; Riverbend, English, adult age, telehealth consent, and Central site match. | No | Yes | First clinical contact is after 2026-06-01 11:40 CT. | No | Contact client under ordinary access workflow. | Bridge outreach is required pending the 2026-06-02 appointment. | |
| BH-Z0B4 | Primary care referral | 52 | High | HN-Z0B4 — signed 2026-05-29 10:52 CT | Priority access | PHQ-9 22 with severe functional impairment and no behavioral-health provider seen within 72 hours. | 54 | P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Reserved | Open/blank hold; in-person West adult therapy explicitly includes Northstar Select. Telehealth is excluded by the plan carve-out. | No | Yes | First clinical contact is after 2026-06-01 11:40 CT. | No | Contact client under ordinary access workflow. | Keep the appointment in person; do not substitute telehealth. | |
| BH-T9Y6 | OB clinic | 30 | Moderate | Referral export; HN-T9Y6-DRAFT ignored (draft/unsigned 2026-05-29 11:35 CT) | Priority access | GAD-7 19 with severe functional impairment and no behavioral-health provider seen within 72 hours. | 54 | P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake — perinatal competent | Telehealth | 60 | Reserved | Open/blank hold; accepts pregnant clients without a same-day perinatal trigger; BlueChoice, English, adult age, East site, and telehealth consent match. | No | No | First clinical contact is before 2026-06-01 11:40 CT. | No | Contact client under ordinary access workflow. | Unsigned draft does not change priority routing. | |
| BH-V9F3 | Primary care referral | 27 | High | HN-V9F3 — signed 2026-05-29 10:44 CT | Routine / waitlist | High score is covered by an active behavioral-health provider seen within 72 hours; no crisis/same-day trigger. | 54 | 157 | Routine/waitlist pathway; do not consume high-acuity capacity. | No | No | Routine clients are excluded from bridge counts. | No | Contact client under ordinary access workflow if routine follow-up is needed. | Existing outside therapist and psychiatrist are active. | |||||||
| BH-N4A1 | Primary care referral | 63 | High | HN-N4A1 — signed 2026-05-29 10:12 CT | Routine / waitlist | Signed clarification attributes the export checkbox to tinnitus/hearing loss and documents no hallucination or command content; no other high-action criterion. | 54 | 157 | Routine/waitlist pathway; do not consume high-acuity capacity. | No | No | Routine clients are excluded from bridge counts. | No | Contact client under ordinary access workflow. | None. | |||||||
| BH-A8U2 | ED follow-up queue | 45 | High | HN-A8U2 — signed 2026-05-29 10:32 CT | Routine / waitlist | Signed review reclassifies the loaded encounters as urgent care and non-behavioral ED; no behavioral-health ED visit or other high-action criterion remains. | 54 | 157 | Routine/waitlist pathway; do not consume high-acuity capacity. | No | No | Routine clients are excluded from bridge counts. | No | Contact client under ordinary access workflow. | None. | |||||||
| BH-D5H0 | ED observation follow-up | 19 | Moderate | HN-D5H0 — signed 2026-05-29 09:49 CT | Routine / waitlist | ED observation did not convert to psychiatric inpatient admission; no other high-action criterion. | 54 | 157 | Observation is not an inpatient discharge; do not consume high-acuity capacity. | No | No | Routine clients are excluded from bridge counts. | No | Contact client under ordinary access workflow. | None. |
Reservations
| Start CT | Slot ID | Client ID | Pathway | Program | Site | Modality | Minutes | Eligibility summary | Bridge outreach |
|---|---|---|---|---|---|---|---|---|---|
| 46171.5451388889 | S-YSF-A7Q | BH-P8A4 | Same-day clinician review | Youth Safety Review | North | In-person | 45 | Open/blank hold; youth/Riverbend/English/site match; guardian verification may remain pending for safety review. | No |
| 46171.5625 | S-PSY-9D2 | BH-M2N7 | Same-day clinician review | Psychosis Safety Review | East | In-person | 45 | Open/blank hold; adult/self-pay/English/site/specialty match. | No |
| 46171.5972222222 | S-PERI-2B | BH-L0R6 | Same-day clinician review | Perinatal Rapid Review | Central | Telehealth | 45 | Open/blank hold; Riverbend/Spanish/perinatal/telehealth-consent match. | No |
| 46171.6319444445 | S-ASR-3P1 | BH-C3T8 | Same-day clinician review | Adult Safety Review | East | In-person | 45 | Open/blank hold; adult/Riverbend/English/site/specialty match. | No |
| 46173.4444444445 | P-PDT-6N4 | BH-X1D5 | Priority access | Post-Discharge Transition | East | In-person | 60 | Open/blank hold; recent inpatient discharge/Riverbend/English/site match. | No |
| 46174.3888888889 | P-ADT-K3M | BH-R6W8 | Priority access | Adult Therapy Intake | East | Telehealth | 60 | Open/blank hold; CedarCare allowed at East; consent/English/adult match. | No |
| 46174.4270833333 | P-ADT-TRI | BH-T9Y6 | Priority access | Adult Therapy Intake — perinatal competent | East | Telehealth | 60 | Open/blank hold; pregnant without same-day trigger; BlueChoice/consent/English/site match. | No |
| 46175.3645833333 | P-ADT-V4R | BH-Z0B4 | Priority access | Adult Therapy Intake | West | In-person | 60 | Open/blank hold; Northstar Select explicitly included; in-person/West/adult/English match. | Yes — after threshold |
| 46175.4375 | P-PER-F8Q | BH-Q2T0 | Priority access | Perinatal Follow-Up | Central | Telehealth | 60 | Open/blank hold; Riverbend/perinatal/consent/English/Central match. | Yes — after threshold |
Unresolved Priority
| Client ID | Priority basis | Candidate slot(s) reviewed | Why no eligible reservation | Bridge outreach | Required constraint |
|---|---|---|---|---|---|
| BH-S5Q2 | Stable moderate withdrawal | P-SUD-7CX; P-SUD-1FZ | P-SUD-7CX is Hold with INTERPRETER-UNCONFIRMED; P-SUD-1FZ is English-only and excludes Riverbend. | Yes — SUD mandatory and no eligible slot | Use Spanish-capable clinical outreach; do not use held capacity. |
| BH-E7V1 | Youth self-injury 21 days ago; no current thoughts | P-YTH-H5L | Priority youth therapy requires verified guardian/caregiver authority; authority is not verified. | Yes — no eligible slot | No voicemail/details to stepfather; counselor gets scheduling status only; verify authority before therapy reservation. |
Bridge Outreach
| Client ID | Priority basis | Reserved slot | First clinical contact CT | Bridge trigger | Outreach requirement | Protected-contact limit |
|---|---|---|---|---|---|---|
| BH-S5Q2 | Stable moderate withdrawal | None | 208 | Bridge outreach required; Spanish-capable clinical contact needed. | No restricted-contact flag. | |
| BH-E7V1 | Youth self-injury 15–30 days; no current thoughts | None | 212 | Bridge outreach required while guardian/caregiver authority is verified. | No voicemail/details to stepfather; counselor scheduling status only. | |
| BH-Z0B4 | PHQ-9 threshold + severe impairment | P-ADT-V4R | 46175.3645833333 | First clinical contact is after 2026-06-01 11:40 CT | Bridge outreach required pending the in-person West appointment. | No restricted-contact flag. |
| BH-Q2T0 | EPDS threshold without same-day trigger | P-PER-F8Q | 46175.4375 | First clinical contact is after 2026-06-01 11:40 CT | Bridge outreach required pending perinatal follow-up. | No restricted-contact flag. |
Protected Contact
| Client ID | Pathway | Restricted-contact reason | Permitted / required contact | Prohibited / limited contact | Scheduling implication |
|---|---|---|---|---|---|
| BH-J4K9 | Crisis transfer | Referral limits outreach to client only. | Client and the documented accepted mobile-crisis handoff. | No ordinary family/collateral outreach. | No outpatient slot until post-crisis disposition is known. |
| BH-P8A4 | Same-day clinician review | Guardian verification is stale; collateral status is limited. | Same-day youth safety review may proceed; school counselor may receive scheduling status only. | Do not treat unverified guardian/caregiver authority as permission for routine therapy. | Any later youth therapy intake waits for verified authority. |
| BH-L0R6 | Same-day clinician review | Signed handoff says partner must not be contacted. | Client directly or OB social work only; Spanish clinical contact required. | Do not contact partner. | Keep Spanish/telehealth requirements and restriction attached to S-PERI-2B. |
| BH-E7V1 | Priority access — unresolved | Caregiver authority is unverified; student limits stepfather contact. | School counselor may receive scheduling status only; coordinate authority verification without disclosing details. | No voicemail or details to stepfather until verification. | No youth therapy reservation; bridge outreach must honor these limits. |
Slot Audit
| Slot ID | Start CT | Program | Site | Modality | Minutes | Slot status | Hold code | Status gate | High-acuity use | Reserved client | Decision rationale |
|---|---|---|---|---|---|---|---|---|---|---|---|
| S-YSF-A7Q | 46171.5451388889 | Youth Safety Review | North | In-person | 45 | Open | 248 | Reserved | BH-P8A4 | Eligible same-day youth safety match. | |
| S-PSY-9D2 | 46171.5625 | Psychosis Safety Review | East | In-person | 45 | Open | 248 | Reserved | BH-M2N7 | Eligible same-day command-content specialty match. | |
| S-PERI-2B | 46171.5972222222 | Perinatal Rapid Review | Central | Telehealth | 45 | Open | 248 | Reserved | BH-L0R6 | Eligible same-day perinatal/Spanish/consent match. | |
| S-ASR-3P1 | 46171.6319444445 | Adult Safety Review | East | In-person | 45 | Open | 248 | Reserved | BH-C3T8 | Eligible same-day adult Trigger A match. | |
| S-ASR-HOLD-8MV | 46171.6666666667 | Adult Safety Review | East | In-person | 45 | QA release pending | MIGRATION-HOLD | Fail | Excluded | 258 | |
| P-SUD-1FZ | 46173.375 | SUD Nurse Bridge | Telehealth | Telehealth | 30 | Open | 248 | Not reserved | 262 | ||
| P-SUD-7CX | 46172.5104166667 | SUD Nurse Bridge | Telehealth | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | Fail | Excluded | 266 | |
| P-PDT-6N4 | 46173.4444444445 | Post-Discharge Transition | East | In-person | 60 | Open | 248 | Reserved | BH-X1D5 | Eligible recent-inpatient-discharge match. | |
| P-ADT-CEN-5QW | 46173.5416666667 | Adult Therapy Intake | Central | Telehealth | 60 | Open | 248 | Not reserved | 269 | ||
| P-ADT-K3M | 46174.3888888889 | Adult Therapy Intake | East | Telehealth | 60 | Open | 248 | Reserved | BH-R6W8 | Eligible East CedarCare/consent match. | |
| P-ADT-TRI | 46174.4270833333 | Adult Therapy Intake — perinatal competent | East | Telehealth | 60 | Open | 248 | Reserved | BH-T9Y6 | Eligible pregnant priority case without same-day trigger. | |
| P-GRP-4MJ | 46174.5833333333 | Skills Group Orientation | West | In-person | 90 | Open | 248 | Excluded — nonclinical | 275 | ||
| P-ADT-V4R | 46175.3645833333 | Adult Therapy Intake | West | In-person | 60 | Open | 248 | Reserved | BH-Z0B4 | Eligible in-person Northstar Select/West match. | |
| P-PER-F8Q | 46175.4375 | Perinatal Follow-Up | Central | Telehealth | 60 | Open | 248 | Reserved | BH-Q2T0 | Eligible perinatal/Riverbend/consent match. | |
| P-YTH-H5L | 46176.6527777778 | Youth Therapy Intake | North | In-person | 60 | Open | 248 | Not reserved | 279 | ||
| P-POST-HLD-6R2 | 46172.3472222222 | Post-Discharge Transition | East | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | Fail | Excluded | 283 |
User prompt → 32 turns · 17 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 to build the two required deliverables, and I’ll first inventory the attached…
I’m using the Word and spreadsheet skills to build the two required deliverables, and I’ll first inventory the attached source files so I can apply the controlling rules exactly.
7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"rg --files -g 'SKILL.md' -g '!output/**' /root/.agents/skills/docx /root/.agents/skills/xlsx && rg --files /workspace | sed -n '1,200p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/docx/SKILL.md /workspace/data/slot_inventory_and_roster.xlsx /workspace/data/signed_clinical_handoff_packet.docx /workspace/data/referral_batch_export.xlsx /workspace/data/access_services_rules_cutover_queue.pdf
8The controlling access-desk reference is a PDF, so I’m also using the PDF skill to extract and verify its routing and ca…
The controlling access-desk reference is a PDF, so I’m also using the PDF skill to extract and verify its routing and capacity rules before reconciling any client.
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const paths = [ "/root/.agents/skills/docx/SKILL.md", "/root/.agents/skills/xlsx/SKILL.md", "/root/.agents/skills/pdf/SKILL.md" ]; const rs = await Promise.all(paths.map(path => tools.exec_command({cmd:`sed -n '1,10000p' '${path}'`,workdir:"/workspace",yield_time_ms:10000,max_output_tokens:30000}))); rs.forEach((r,i)=>{ text(`FILE ${paths[i]}\n${r.output}`); });Output
Script completed Wall time 0.1 seconds Output: FILE /root/.agents/skills/docx/SKILL.md --- 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
… 40,205 more characters of output in the raw trajectory.
10I’ve confirmed four source files. I’m now extracting the rules, finalized handoffs, referral rows, and slot roster in pa…
I’ve confirmed four source files. I’m now extracting the rules, finalized handoffs, referral rows, and slot roster in parallel, then I’ll cross-check client identifiers and note timestamps before making any disposition.
11Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const jobs = [ 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 path in ['data/referral_batch_export.xlsx','data/slot_inventory_and_roster.xlsx']:\n print('\\nFILE', path)\n… 515 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.8 seconds Output: PDF RULES 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… 22,672 more characters of output in the raw trajectory.
12The Word extractor named in the skill isn’t installed here, so I’m switching to direct DOCX/XML inspection. I’ll preserv…
The Word extractor named in the skill isn’t installed here, so I’m switching to direct DOCX/XML inspection. I’ll preserve signed/finalized status and exact timestamps rather than relying on a lossy text conversion.
13Shell1
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\np='data/signed_clinical_handoff_packet.docx'\nwith ZipFile(p) as z:\n print('PARTS')\n for n in z.namelist():\n if n.startswith('word/') or n.startswith('docProps/'):\n print(n)\n ns={'w':'http://schemas.openxmlformats.org/wordprocessingml/2006/main'}\n for part in ['word/document.xml','word/header1.xml','word/footer1.xml','word/comments.xml','docProps/core.xml']:\n if part not in z.namelist():\n continue\n… 1,172 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.2 seconds Output: PARTS docProps/core.xml docProps/app.xml word/document.xml word/_rels/document.xml.rels 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 docProps/thumbnail.jpeg PART word/document.xml 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. TABLE3 ROW 0 ['Note metadata', 'Care-coordination note'] ROW 1 ['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 de
… 5,681 more characters of output in the raw trajectory.
14The reconciliation resolves to 16 clients: 1 crisis transfer, 4 same-day reviews, 7 priority-access cases, and 4 routine…
The reconciliation resolves to 16 clients: 1 crisis transfer, 4 same-day reviews, 7 priority-access cases, and 4 routine/waitlist cases. I’m validating the global slot assignment now so each reservation is unique and every payer, language, modality, consent, and status gate is satisfied.
15Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"find /workspace/output -maxdepth 1 -type f -printf '%f\\n' 2>/dev/null || true\npython - <<'PY'\nfrom openpyxl import load_workbook\nfrom datetime import datetime\n# Compact source cross-check: note IDs/times/status from document XML and open-slot gate counts.\nfrom zipfile import ZipFile\nfrom lxml import etree\nz=ZipFile('data/signed_clinical_handoff_packet.docx')\nroot=etree.fromstring(z.read('word/document.xml'))\nns={'w':'http://schemas.openxmlformats.org/wordprocessingml/2006/main'}\nrows=[]\nfor tr in root.xpath('.//w:tr',… 985 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.7 seconds Output: handoff_rows 16 signed 15 draft_unsigned 1 inventory_rows 16 open_blank_hold 13 excluded_status_or_hold 3 usable_ids ['S-YSF-A7Q', 'S-PSY-9D2', 'S-PERI-2B', 'S-ASR-3P1', 'P-SUD-1FZ', 'P-PDT-6N4', 'P-ADT-CEN-5QW', 'P-ADT-K3M', 'P-ADT-TRI', 'P-GRP-4MJ', 'P-ADT-V4R', 'P-PER-F8Q', 'P-YTH-H5L']
16Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"node -e \"require('docx'); console.log('docx-ok')\" && python - <<'PY'\nimport openpyxl\nprint('openpyxl',openpyxl.__version__)\nPY\nrg --files /root/.agents/skills/docx/scripts /root/.agents/skills/xlsx/scripts | sed -n '1,120p'","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]:1:1 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 /root/.agents/skills/xlsx/scripts/recalc.py /root/.agents/… 8,848 more characters of output in the raw trajectory.
17The Word-generation package is missing, so I’m installing that required local dependency. This doesn’t affect the source…
The Word-generation package is missing, so I’m installing that required local dependency. This doesn’t affect the source files or the queue; it only enables creation and validation of the requested DOCX.
18Shell1
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);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
19The unique reservation set is complete: 9 high-acuity clinical slots totaling 480 minutes. Two priority clients remain u…
The unique reservation set is complete: 9 high-acuity clinical slots totaling 480 minutes. Two priority clients remain unresolved because an eligible slot cannot be reserved, and four priority clients require bridge outreach under the threshold rules. I’m now generating the operational workbook and memo from that reconciled set.
20exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /workspace/build_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\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+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = \"17365D\"\n+TEAL = \"0F6B78\"\n+BLUE = \"D9EAF7\"\n+LIGHT_TEAL = \"DDEBF0\"\n+LIGHT_GREEN = \"E2F0D9\"\n
Arguments
const patch = "*** Begin Patch\n*** Add File: /workspace/build_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\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+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = \"17365D\"\n+TEAL = \"0F6B78\"\n+BLUE = \"D9EAF7\"\n+LIGHT_TEAL = \"DDEBF0\"\n+LIGHT_GREEN = \"E2F0D9\"\n
… 36,100 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}21Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"ls -l /workspace/build_workbook.py && python -m py_compile /workspace/build_workbook.py","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":2000}); text(r.output);Output
Script completed Wall time 0.2 seconds Output: -rw-r--r-- 1 root root 30433 Aug 20 02:19 /workspace/build_workbook.py
22exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /workspace/build_memo.js\n+const fs = require(\"fs\");\n+const {\n+ AlignmentType, BorderStyle, Document, Footer, Header, HeadingLevel, LevelFormat,\n+ PageBreak, PageNumber, Packer, Paragraph, ShadingType, Table, TableCell, TableRow,\n+ TextRun, VerticalAlign, WidthType,\n+} = require(\"docx\");\n+\n+const OUT = \"/workspace/output/access_reconciliation_memo.docx\";\n+const CONTENT = 10368;\n+const NAVY = \"17365D\";\n+const TEAL = \"0F6B78\";\n+const BLUE = \"D9EAF7\";\n+const PALE = \"F7FBFC
Arguments
const patch = "*** Begin Patch\n*** Add File: /workspace/build_memo.js\n+const fs = require(\"fs\");\n+const {\n+ AlignmentType, BorderStyle, Document, Footer, Header, HeadingLevel, LevelFormat,\n+ PageBreak, PageNumber, Packer, Paragraph, ShadingType, Table, TableCell, TableRow,\n+ TextRun, VerticalAlign, WidthType,\n+} = require(\"docx\");\n+\n+const OUT = \"/workspace/output/access_reconciliation_memo.docx\";\n+const CONTENT = 10368;\n+const NAVY = \"17365D\";\n+const TEAL = \"0F6B78\";\n+const BLUE = \"D9EAF7\";\n+const PALE = \"F7FBFC… 19,143 more characters of arguments in the raw trajectory.
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:"python /workspace/build_workbook.py\nNODE_PATH=\"$(npm root -g)\" node /workspace/build_memo.js\nls -lh /workspace/output","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 1.2 seconds Output: total 48K -rw-r--r-- 1 root root 18K Aug 20 02:20 access_reconciliation_memo.docx -rw-r--r-- 1 root root 26K Aug 20 02:20 routing_reconciliation_workbook.xlsx
24Both deliverables are generated. I’m performing the required formula recalculation/error scan and DOCX package validatio…
Both deliverables are generated. I’m performing the required formula recalculation/error scan and DOCX package validation next, followed by a rendered-page inspection for layout and readability.
25Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const rs = await Promise.all([ tools.exec_command({cmd:"python /root/.agents/skills/xlsx/scripts/recalc.py /workspace/output/routing_reconciliation_workbook.xlsx 60","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}), tools.exec_command({cmd:"python /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}) ]); text("WORKBOOK RECALC\n"+rs[0].output); text("DOCX VALIDATION\n"+rs[1].output);Output
Script completed Wall time 3.0 seconds Output: WORKBOOK RECALC { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 10 } DOCX VALIDATION Paragraphs: 0 → 184 (+184) All validations PASSED!26Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"mktemp -d /tmp/mbh_validation.XXXXXX","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":2000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /tmp/mbh_validation.QJ609J
27Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/mbh_validation.QJ609J /workspace/output/access_reconciliation_memo.docx /workspace/output/routing_reconciliation_workbook.xlsx\npdfinfo /tmp/mbh_validation.QJ609J/access_reconciliation_memo.pdf\npdfinfo /tmp/mbh_validation.QJ609J/routing_reconciliation_workbook.pdf\npdftoppm -png -r 110 /tmp/mbh_validation.QJ609J/access_reconciliation_memo.pdf /tmp/mbh_validation.QJ609J/memo\npdftoppm -png -f 1 -singlefile -r 110 /tmp/mbh_validation.QJ609J… 272 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.6 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/mbh_validation.QJ609J/access_reconciliation_memo.pdf using filter : writer_pdf_Export convert /workspace/output/routing_reconciliation_workbook.xlsx as a Calc document -> /tmp/mbh_validation.QJ609J/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Title: Access Reconciliation Memo Author: Meadowbrook Behavioral Health Access Services Creator: Writer Producer: LibreOffice 25.2.3.2 (X86_64) / LibreOffice Community CreationDate: Thu Aug 20 02:21:22 2026 UTC Custom Metadata: no Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 5 Encrypted: no Page size:
… 1,049 more characters of output in the raw trajectory.
28exec1
Tool execution only — no assistant text
execconst paths = [ "/tmp/mbh_validation.QJ609J/memo-1.png", "/tmp/mbh_validation.QJ609J/memo-2.png", "/tmp/mbh_validation.QJ609J/memo-3.png", "/tmp/mbh_validation.QJ609J/memo-4.png", "/tmp/mbh_validation.QJ609J/memo-5.png", "/tmp/mbh_validation.QJ609J/workbook_summary.png" ]; const rs = await Promise.all(paths.map(path => tools.view_image({path,detail:"original"}))); rs.forEach((r,i)=>{ text(paths[i]); image(r.image_url); });
Arguments
const paths = [ "/tmp/mbh_validation.QJ609J/memo-1.png", "/tmp/mbh_validation.QJ609J/memo-2.png", "/tmp/mbh_validation.QJ609J/memo-3.png", "/tmp/mbh_validation.QJ609J/memo-4.png", "/tmp/mbh_validation.QJ609J/memo-5.png", "/tmp/mbh_validation.QJ609J/workbook_summary.png" ]; const rs = await Promise.all(paths.map(path => tools.view_image({path,detail:"original"}))); rs.forEach((r,i)=>{ text(paths[i]); image(r.image_url); });Output
Script completed Wall time 0.1 seconds Output: /tmp/mbh_validation.QJ609J/memo-1.png
… 1,087,526 more characters of output in the raw trajectory.
29The rendered memo is clean across five pages, and the workbook summary shows the expected totals. I’m doing one final cr…
The rendered memo is clean across five pages, and the workbook summary shows the expected totals. I’m doing one final cross-file audit now: unique clients and slots, reservation minutes, bridge/restriction sets, source-slot status gates, and exact output-directory contents.
30Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"python - <<'PY'\nfrom pathlib import Path\nfrom openpyxl import load_workbook\nout=Path('/workspace/output')\nfiles=sorted(p.name for p in out.iterdir() if p.is_file())\nassert files==['access_reconciliation_memo.docx','routing_reconciliation_workbook.xlsx'], files\nwbf=load_workbook(out/'routing_reconciliation_workbook.xlsx',data_only=False,read_only=True)\nwbv=load_workbook(out/'routing_reconciliation_workbook.xlsx',data_only=True,read_only=True)\nassert wbf.sheetnames==['Summary','Routing Decisions','Reservations','Unresolved Prior… 2,190 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: final_audit_ok files ['access_reconciliation_memo.docx', 'routing_reconciliation_workbook.xlsx'] metrics {'Total referrals': 16, 'Crisis transfers': 1, 'Same-day reviews': 4, 'Priority access': 7, 'Routine / waitlist': 4, 'High-acuity reservations': 9, 'Unresolved priority': 2, 'Bridge-outreach flags': 4, 'Restricted-contact flags': 4, 'Reserved clinical minutes': 480} /bin/bash: line 36: unzip: command not found /bin/bash: line 37: unzip: command not found31Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({cmd:"python - <<'PY'\nfrom zipfile import ZipFile\nfor p in ['/workspace/output/access_reconciliation_memo.docx','/workspace/output/routing_reconciliation_workbook.xlsx']:\n with ZipFile(p) as z:\n assert z.testzip() is None\n print(p, 'zip_integrity_ok', len(z.namelist()), 'parts')\nPY\nfind /workspace/output -maxdepth 1 -type f -printf '%f %s bytes\\n' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":2000}); text(r.output);Output
Script completed Wall time 0.2 seconds Output: /workspace/output/access_reconciliation_memo.docx zip_integrity_ok 26 parts /workspace/output/routing_reconciliation_workbook.xlsx zip_integrity_ok 35 parts access_reconciliation_memo.docx 17621 bytes routing_reconciliation_workbook.xlsx 31968 bytes
32Completed and validated both deliverables: - [Access reconciliation memo](/workspace/output/access_reconciliation_memo.d…
Completed and validated both deliverables:
- Access reconciliation memo
- Routing reconciliation workbook
Reconciliation includes 9 reservations totaling 480 minutes, 2 unresolved priority cases, 4 bridge-outreach flags, and 4 protected-contact flags.
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
All four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
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.