EKWbench

task_53Health care and social assistance

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

TaxonomyHealth care and social assistanceMedical and health services managers

All trialsGPT-5.6 SolcodexTrial 04

87%

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 matters

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

    How to pass

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

    Reads

  • memo_count_consistencyLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • unresolved_priorityLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • bridge_outreachLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • slot_eligibilityLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_completenessLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_routing_accuracyLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_slot_listLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_slot_pairsLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_outreachLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_protected_contactLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • routine_waitlist_edge_casesLLMFail
    Why it matters

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

    How to pass

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

    Reads

    Failure mode Required Rationale or Authority Statement Omitted

    Why it failed

    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.

    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 matters

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

    How to pass

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

    Reads

secondary (4)

  • source_hierarchyLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • scope_controlLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • workbook_exclusionsLLMPass
    Why it matters

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

    How to pass

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

    Reads

  • side_effectsLLMFail
    Why it matters

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

    How to pass

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

    Reads

    Failure mode Off-Scope Advice Added

    Why it failed

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

    Justification

    The memo is not 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

access_reconciliation_memo.docx17 KB

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.

User prompt → 32 turns · 17 tool calls → final responsecodex

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

    skills instructions

    Skills

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

    Available skills

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

    … 3,403 more characters in the raw trajectory.

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

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

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

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

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

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

    They may be addressed as to=/root

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

    All agents share the same directory. In detail:

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

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

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

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

    … 264 more characters in the raw trajectory.

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

    multi agent mode

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

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

    environment context

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

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

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

    Produce exactly two deliverables in /workspace/output/:

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

    … 404 more characters in the raw trajectory.

  6. 6I’m using the Word and spreadsheet skills 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.

  7. 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
    
  8. 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.

  9. 9Shell1

    Tool execution only — no assistant text

    Shellvia exec41k chars

    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.

  10. 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.

  11. 11Shell1

    Tool execution only — no assistant text

    Shellvia exec24k chars

    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.

  12. 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.

  13. 13Shell1

    Tool execution only — no assistant text

    Shellvia exec7k chars

    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.

  14. 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.

  15. 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']
    
  16. 16Shell1

    Tool execution only — no assistant text

    Shellvia exec10k chars

    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.

  17. 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.

  18. 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
    
  19. 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.

  20. 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:
    
    {}
  21. 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
    
  22. 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:
    
    {}
  23. 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
    
  24. 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.

  25. 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!
    
  26. 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
    
  27. 27Shell1

    Tool execution only — no assistant text

    Shellvia exec2k chars

    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.

  28. 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); });1.1M chars

    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.

  29. 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.

  30. 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 found
    
  31. 31Shell1

    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
    
  32. 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

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

    Description

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

    Failure evidence · per affected verifier

    • 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.

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

    Description

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

    Failure evidence · per affected verifier

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