task_53Health care and social assistance
All trialsGPT-5.6 TerracodexTrial 01
Trial reward
GPT-5.6 TerraFail
Trial 01 — 2nd of 4 by reward score. This model averages 89.1% across 4 trials on this task.
- 11/13Core verifiers passed
- 15/17All verifiers passed
- 2Core failed
- 31Turns
- 21Tool calls
- $0.87Cost
- 13.9mTime
- 40kOutput tokens
Missed 2 of 13 core — unresolved_priority and bridge_outreach.
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_priorityLLMFail
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
Failure mode Required Rationale or Authority Statement Omitted
Why it failedThe memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.
Justification
The memo’s unresolved-priority section lists only BH-S5Q2 and BH-E7V1, and BH-E7V1 is correctly tied to unverified guardian/caregiver authority; it also does not reserve P-SUD-7CX, P-SUD-1FZ, or P-YTH-H5L. But BH-S5Q2 is described as lacking a 'Spanish-capable Riverbend SUD clinical slot,' not explicitly a Spanish-capable Medicaid SUD slot as required by the rubric.
bridge_outreachLLMFail
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
Failure mode Allocation or Selection Plan Incorrect
Why it failedThe bridge-outreach section states the correct four clients with the correct count, but the section also lists the four routine/waitlist clients as if they belonged in the bridge-outreach set.
Justification
The memo shows a bridge count of 4 and later lists BH-S5Q2, BH-E7V1, BH-Z0B4, and BH-Q2T0 with reasons, but the bridge-outreach section itself also names BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0 and does not provide a clean memo-level summary using the 2026-06-01 11:40 CT threshold for exactly the required four clients.
slot_eligibilityLLMPass
Why it mattersSlot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.
How to passChecks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.
Reads
workbook_completenessLLMPass
Why it mattersThe operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.
How to passChecks whether the workbook provides complete client-level coverage for the full batch.
Reads
workbook_routing_accuracyLLMPass
Why it mattersClient-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.
How to passChecks whether the workbook records the correct routing pathway for every client.
Reads
workbook_slot_listLLMPass
Why it mattersOperations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.
How to passChecks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.
Reads
workbook_slot_pairsLLMPass
Why it mattersCorrect client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.
How to passChecks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.
Reads
workbook_outreachLLMPass
Why it mattersOperations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.
How to passChecks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.
Reads
workbook_protected_contactLLMPass
Why it mattersThe workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.
How to passChecks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.
Reads
routine_waitlist_edge_casesLLMPass
Why it mattersThese edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.
How to passChecks whether the workbook correctly resolves the four routine/waitlist edge cases.
Reads
memo_protected_contactLLMPass
Why it mattersThe memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.
How to passChecks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.
Reads
secondary (4)
source_hierarchyLLMPass
Why it mattersThe source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.
How to passChecks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.
Reads
scope_controlLLMPass
Why it mattersThe deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.
How to passChecks whether the memo stays within access-routing scope rather than giving clinical treatment advice.
Reads
workbook_exclusionsLLMPass
Why it mattersA strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.
How to passChecks whether the workbook documents why tempting capacity was not usable for unresolved clients.
Reads
side_effectsLLMPass
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
2 deliverables · what this trial produced
Urgent-Access Cutover Queue Reconciliation Memo
For: Urgent-Access Lead | Batch review completed 2026-05-29 11:40 CT | Prepared for the early-afternoon scheduling huddle
Escalations
Priority placed
Priority unresolved
Bridge outreach
Protected contacts
5
5
2
4
4
Reserved high-acuity clinical capacity: 9 clinical slots / 480 minutes. Crisis transfer, nonclinical orientation, and held, tentative, blocked, or QA-release-pending capacity are excluded.
Authority applied. The desk reference controls routing, capacity, carve-outs, bridge outreach, language/modality, and contact limits. Fifteen signed, matching handoffs were finalized within the review window and applied. HN-T9Y6-DRAFT was unsigned, so it was ignored and BH-T9Y6 remains priority under the referral export. Raw triage bands were not used as dispositions.
1. Escalation queue before ordinary scheduling
Rank
Client
Highest-action basis
Required action / reservation
1
BH-J4K9
Crisis transfer. Signed handoff confirms current intent tonight plus accessible medication stockpile; warm mobile-crisis transfer was accepted.
Route to mobile crisis/ED. No outpatient slot. Exclude from bridge count until post-crisis disposition is known.
2
BH-C3T8
Same-day clinician review — Trigger A. Current death/self-harm thoughts, method/means considered 18 days ago, and no safety plan.
Reserve S-ASR-3P1, East Adult Safety Review, 2026-05-29 15:10 CT.
3
BH-P8A4
Same-day clinician review — Trigger B. Age 16, self-injury six days ago, and current death/self-harm thoughts.
Reserve S-YSF-A7Q, North Youth Safety Review, 2026-05-29 13:05 CT. Guardian verification may remain pending for this safety review.
4
BH-M2N7
Same-day clinician review — Trigger C. Command voice directs client to step into traffic; client denies intent and means.
Reserve S-PSY-9D2, East Psychosis Safety Review, 2026-05-29 13:30 CT.
5
BH-L0R6
Same-day clinician review — Trigger D. Eight weeks postpartum, intrusive infant-harm images, 2.5 hours of sleep nightly, and reliable support not confirmed.
Reserve S-PERI-2B, Central Perinatal Rapid Review, Spanish telehealth, 2026-05-29 14:20 CT.
Escalation order follows policy ranking: crisis transfer first, then Trigger A, Trigger B, Trigger C, and Trigger D. BH-J4K9 is not an outpatient scheduling candidate.
2. Reserved high-acuity clinical contacts
Reserved same-day and priority clinical slots are listed in appointment-start order. These are the only high-acuity slot identifiers and the only minutes counted in the total above.
Start CT
Slot
Client
Clinical contact
Minutes
Eligibility control
05-29 13:05
S-YSF-A7Q
BH-P8A4
North youth safety review; in-person
45
Same-day youth exception permits pending guardian verification.
05-29 13:30
S-PSY-9D2
BH-M2N7
East psychosis safety review; in-person
45
Adult, self-pay, English match.
05-29 14:20
S-PERI-2B
BH-L0R6
Central perinatal rapid review; Spanish telehealth
45
Riverbend, Spanish, perinatal, and telehealth-consent match.
05-29 15:10
S-ASR-3P1
BH-C3T8
East adult safety review; in-person
45
Riverbend, adult safety, English match.
05-31 10:40
P-PDT-6N4
BH-X1D5
East post-discharge transition; in-person
60
Recent psychiatric inpatient-discharge match.
06-01 09:20
P-ADT-K3M
BH-R6W8
East adult therapy intake; telehealth
60
CedarCare is permitted at East; telehealth consent is documented.
06-01 10:15
P-ADT-TRI
BH-T9Y6
East perinatal-competent adult therapy; telehealth
60
BlueChoice, pregnancy, East, and telehealth-consent match.
06-02 08:45
P-ADT-V4R
BH-Z0B4
West adult therapy intake; in-person
60
Northstar Select explicitly included; telehealth is excluded.
06-02 10:30
P-PER-F8Q
BH-Q2T0
Central perinatal follow-up; telehealth
60
Riverbend, perinatal, English, and telehealth-consent match.
3. Unresolved priority clients — no eligible clinical reservation
Client
Priority basis
Why no eligible current-inventory slot can be reserved
Required carry-forward
BH-S5Q2
Stable moderate withdrawal; Spanish clinical language required.
No Open, blank-hold Spanish-capable Riverbend SUD clinical slot. The open SUD block is English/non-Riverbend; the Spanish/Riverbend block is on hold for interpreter confirmation.
No reservation. Bridge outreach required regardless of timing; retain Spanish clinical-language requirement.
BH-E7V1
Youth self-injury about three weeks ago with no current self-harm thoughts.
Guardian/caregiver authority is unverified. P-YTH-H5L otherwise matches, but priority youth therapy cannot be reserved until authority is verified.
No reservation. Bridge outreach required because no eligible clinical appointment can be reserved.
4. Bridge-outreach needs
Client
Current appointment status
Bridge condition and constraint
BH-S5Q2
No eligible appointment
Stable moderate-withdrawal/SUD priority always requires bridge outreach. Spanish clinical contact remains required.
BH-E7V1
No eligible appointment
No eligible clinical reservation because guardian/caregiver authority is unverified.
BH-Z0B4
P-ADT-V4R on 06-02 08:45 CT
First clinical contact is after the 06-01 11:40 CT bridge threshold; do not substitute telehealth under Northstar Select.
BH-Q2T0
P-PER-F8Q on 06-02 10:30 CT
First clinical contact is after the 06-01 11:40 CT bridge threshold.
Do not count BH-J4K9, any same-day-review client, or routine/waitlist clients in bridge outreach. Routine / waitlist with no high-acuity reservation: BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0.
5. Protected-contact caveats to carry forward
Client
Permitted contact scope
Operational caveat
BH-J4K9
Client direct only
Do not use ordinary family or collateral outreach. Crisis transfer remains outside outpatient access until post-crisis disposition.
BH-P8A4
School counselor: scheduling status only
Guardian authority is not verified. This does not block same-day youth safety review, but it does block routine/priority youth therapy intake.
BH-L0R6
Client directly or OB social work only
Do not contact partner. Spanish clinical contact is required.
BH-E7V1
School counselor: scheduling status only
Do not leave voicemail or details with stepfather until caseworker confirms authority; guardian/caregiver authority remains unverified.
Summary
| Meadowbrook Behavioral Health Access Services — Cutover Queue Reconciliation | |||||||
|---|---|---|---|---|---|---|---|
| Batch review: 2026-05-29 11:40 CT | Controlling source: desk reference; signed in-window handoffs applied only to matching clients; HN-T9Y6-DRAFT ignored. | |||||||
| Operational dashboard | |||||||
| Total referrals | 16 | Escalation queue | 5 | Priority reserved | 5 | Priority unresolved | 2 |
| Referral export clients reconciled. | 8 | 9 | 10 | ||||
| Bridge outreach | 4 | Protected contact | 4 | Reserved clinical slots | 9 | Reserved clinical minutes | 480 |
| Non-crisis priority clients meeting bridge criteria. | 16 | 17 | 18 | ||||
| Escalation queue — policy ranking (before ordinary scheduling) | |||||||
| Rank | Client ID | Final pathway | Required action | Slot / status | |||
| 1 | BH-J4K9 | Crisis transfer | Mobile crisis/ED transfer accepted; no outpatient access before post-crisis disposition. | No outpatient reservation | |||
| 2 | BH-C3T8 | Same-day review — Trigger A | Adult safety review before routine/priority scheduling. | S-ASR-3P1 | 2026-05-29 15:10 | |||
| 3 | BH-P8A4 | Same-day review — Trigger B | Youth safety review; may proceed despite pending guardian verification. | S-YSF-A7Q | 2026-05-29 13:05 | |||
| 4 | BH-M2N7 | Same-day review — Trigger C | Psychosis safety review before ordinary scheduling. | S-PSY-9D2 | 2026-05-29 13:30 | |||
| 5 | BH-L0R6 | Same-day review — Trigger D | Spanish perinatal rapid review; protected-contact rule applies. | S-PERI-2B | 2026-05-29 14:20 | |||
| Priority access allocations and bridge flags | |||||||
| Client ID | Priority basis | Reserved clinical slot | Start CT | Bridge outreach | |||
| BH-X1D5 | Recent psychiatric inpatient discharge | P-PDT-6N4 | 46173.4444444445 | No | |||
| BH-R6W8 | High GAD-7 + severe impairment | P-ADT-K3M | 46174.3888888889 | No | |||
| BH-T9Y6 | High GAD-7 + severe impairment | P-ADT-TRI | 46174.4270833333 | No | |||
| BH-Z0B4 | High PHQ-9 + severe impairment | P-ADT-V4R | 46175.3645833333 | Yes — after threshold | |||
| BH-Q2T0 | Perinatal EPDS >=16 | P-PER-F8Q | 46175.4375 | Yes — after threshold | |||
| Unresolved priorities: BH-S5Q2 (no Open, blank-hold Spanish/Riverbend SUD clinical slot) and BH-E7V1 (guardian/caregiver authority unverified; youth therapy cannot be reserved). | |||||||
| Control reminders: Bridge threshold is 2026-06-01 11:40 CT. Stable moderate-withdrawal/SUD priority clients require bridge outreach regardless of appointment timing. Do not use blocked, tentative, held, or QA-release-pending capacity. Group orientation is nonclinical and excluded from first-contact and reserved-minute counts. | |||||||
Client Routing
| Client-Level Routing Decisions | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Final routing reconciles the desk reference with signed, client-matched handoffs finalized 2026-05-29 09:30–11:40 CT. Raw triage bands are not dispositions. | |||||||||||||||||||
| Client ID | Referral source | Handoff ID | Handoff status / authority | Controlling facts | Final pathway | Escalation rank | Priority basis | Reserved slot | Start CT | Queue class | Clinical minutes | First-contact timing | Eligibility / reservation decision | Unresolved constraint | Reservation status | Bridge outreach | Restricted contact | Contact / outreach caveat | Other scheduling constraints |
| BH-J4K9 | ED callback | HN-J4K9 | SIGNED 2026-05-29 11:18 CT — applied | Current intent to act tonight; accessible medication stockpile; medically attended self-harm laceration documented 2026-05-27; mobile crisis warm transfer accepted. | Crisis transfer | 1 — Crisis transfer | — | — | 95 | 96 | No outpatient slot; post-crisis disposition is required before outpatient access. | Post-crisis disposition pending | Not applicable | No | Yes | Client only; do not use ordinary family/collateral outreach. | No outpatient reservation until crisis disposition is known. | ||
| BH-C3T8 | Primary care warm handoff | HN-C3T8 | SIGNED 2026-05-29 10:02 CT — applied | Current death/self-harm thoughts; medication quantities considered 18 days ago; full supply remains at home; no documented safety plan; no current intent. | Same-day clinician review — Trigger A | 2 — Trigger A | — | S-ASR-3P1 | 46171.6319444445 | Escalation | 45 | Not applicable — same-day review | Eligible: Open/blank hold; adult safety; Riverbend; East; English; in-person. | — | Reserved | No | No | No restricted-contact instruction documented. | Same-day adult safety review. |
| BH-P8A4 | School referral | HN-P8A4 | SIGNED 2026-05-29 10:41 CT — applied | Age 16; cutting six days ago; current death/self-harm thoughts; guardian phone authority has not been verified. | Same-day clinician review — Trigger B | 3 — Trigger B | — | S-YSF-A7Q | 46171.5451388889 | Escalation | 45 | Not applicable — same-day review | Eligible: Open/blank hold; youth safety; Riverbend; North; English; in-person. Same-day review may proceed while guardian verification is pending. | — | Reserved | No | Yes | School counselor may receive scheduling status only; guardian authority remains unverified. | Do not use pending guardian status to block same-day youth safety review. |
| BH-M2N7 | Self referral | HN-M2N7 | SIGNED 2026-05-29 10:36 CT — applied | Voice directs client to step into traffic; client denies intent and denies access to a vehicle or weapon. | Same-day clinician review — Trigger C | 4 — Trigger C | — | S-PSY-9D2 | 46171.5625 | Escalation | 45 | Not applicable — same-day review | Eligible: Open/blank hold; psychosis safety; self-pay; East; English; in-person. | — | Reserved | No | No | No restricted-contact instruction documented. | Use psychosis safety specialty slot. |
| BH-L0R6 | OB clinic | HN-L0R6 | SIGNED 2026-05-29 10:58 CT — applied | Eight weeks postpartum; intrusive infant-harm images; sleep averages 2.5 hours/night; reliable support not confirmed; no intent. Spanish clinical contact required. | Same-day clinician review — Trigger D | 5 — Trigger D | — | S-PERI-2B | 46171.5972222222 | Escalation | 45 | Not applicable — same-day review | Eligible: Open/blank hold; perinatal rapid review; Riverbend; Central; Spanish; telehealth consent documented. | — | Reserved | No | Yes | Do not contact partner; outreach only to client directly or OB social work. | Spanish clinical contact and documented telehealth consent required. |
| BH-X1D5 | Inpatient discharge planning | HN-X1D5 | SIGNED 2026-05-29 09:55 CT — applied | Psychiatric inpatient discharge occurred 2026-05-24; safety plan on file; no current intent. | Priority access | — | Psychiatric inpatient discharge within 7 calendar days | P-PDT-6N4 | 46173.4444444445 | Priority | 60 | Before threshold — 2026-05-31 10:40 CT | Eligible: Open/blank hold; post-discharge specialty; Riverbend; East; English; in-person. | — | Reserved | No | No | No restricted-contact instruction documented. | Post-discharge transition visit. |
| BH-S5Q2 | Primary care warm handoff | HN-S5Q2 | SIGNED 2026-05-29 10:24 CT — applied | Stable moderate alcohol-withdrawal symptoms; not intoxicated; Spanish required for clinical care. | Priority access | — | Stable moderate withdrawal | — | 150 | 159 | No: open SUD bridge is English and non-Riverbend; Spanish/Riverbend SUD bridge is on hold for interpreter confirmation. | No Open, blank-hold Spanish-capable Riverbend SUD clinical slot. | No reservation | Yes | No | No restricted-contact instruction documented. | Bridge outreach required for stable moderate withdrawal regardless of appointment timing; do not use held slot. | ||
| BH-R6W8 | Self referral | HN-R6W8 | SIGNED 2026-05-29 10:50 CT — applied | GAD-7 19 with severe homebound panic; no suicidal thoughts; telehealth consent confirmed. | Priority access | — | GAD-7 >=18 with severe impairment and no active behavioral-health provider within 72 hours | P-ADT-K3M | 46174.3888888889 | Priority | 60 | Before threshold — 2026-06-01 09:20 CT | Eligible: Open/blank hold; East adult therapy; CedarCare is allowed at East; English; telehealth consent documented. | — | Reserved | No | No | No restricted-contact instruction documented. | Central adult therapy is excluded for CedarCare; East slot is permitted. |
| BH-E7V1 | School referral | HN-E7V1 | SIGNED 2026-05-29 11:05 CT — applied | Age 14; self-injury about three weeks ago; no current self-harm thoughts; guardian/caregiver authority not verified. | Priority access | — | Youth self-injury 15–30 days ago with no current self-harm thoughts | — | 150 | 159 | No: P-YTH-H5L otherwise matches age/payer/site/language, but priority youth therapy requires verified guardian/caregiver authority. | Guardian/caregiver authority is unverified; youth therapy slot cannot be reserved. | No reservation | Yes | Yes | No voicemail or details to stepfather until caseworker confirms authority; school counselor may receive scheduling status only. | Verify guardian/caregiver authority before reserving youth therapy. | ||
| BH-Q2T0 | OB clinic | HN-Q2T0 | SIGNED 2026-05-29 10:47 CT — applied | Five months postpartum; EPDS 17; sleep about five hours; partner and sister available; no intrusive-harm content. | Priority access | — | Perinatal EPDS >=16 without same-day perinatal trigger | P-PER-F8Q | 46175.4375 | Priority | 60 | After threshold — 2026-06-02 10:30 CT | Eligible: Open/blank hold; perinatal follow-up; Riverbend; Central; English; telehealth consent documented. | — | Reserved | Yes | No | No restricted-contact instruction documented. | Bridge outreach because first clinical contact is after 2026-06-01 11:40 CT. |
| BH-Z0B4 | Primary care referral | HN-Z0B4 | SIGNED 2026-05-29 10:52 CT — applied | PHQ-9 22 with severe missed-work impairment; no ideation or psychosis; no active behavioral-health provider within 72 hours; Northstar Select. | Priority access | — | PHQ-9 >=20 with severe impairment and no active behavioral-health provider within 72 hours | P-ADT-V4R | 46175.3645833333 | Priority | 60 | After threshold — 2026-06-02 08:45 CT | Eligible: Open/blank hold; West adult therapy; in-person; Northstar Select explicitly included. | — | Reserved | Yes | No | No restricted-contact instruction documented. | Northstar Select excludes telehealth; bridge outreach because first clinical contact is after threshold. |
| BH-T9Y6 | OB clinic | HN-T9Y6-DRAFT | DRAFT UNSIGNED 2026-05-29 11:35 CT — ignored; export used | Pregnant 24 weeks; export shows GAD-7 19 with severe work impairment and no current safety trigger. Draft statement lowering urgency was not finalized. | Priority access | — | GAD-7 >=18 with severe impairment and no active behavioral-health provider within 72 hours | P-ADT-TRI | 46174.4270833333 | Priority | 60 | Before threshold — 2026-06-01 10:15 CT | Eligible: Open/blank hold; East perinatal-competent adult therapy; BlueChoice; English; telehealth consent documented. | — | Reserved | No | No | No restricted-contact instruction documented. | Do not apply unsigned draft; perinatal-competent intake accepts pregnant clients without same-day trigger. |
| BH-V9F3 | Primary care referral | HN-V9F3 | SIGNED 2026-05-29 10:44 CT — applied | PHQ-9 21 but outside therapist was seen at 08:15 on 2026-05-29; existing psychiatrist; safety plan reviewed; no current intent, psychosis, or withdrawal concern. | Routine / waitlist | — | — | — | 205 | 206 | No high-acuity reservation: active behavioral-health provider seen within 72 hours. | — | Not applicable | No | No | No restricted-contact instruction documented. | Avoid duplicative urgent access unless symptoms change. | ||
| BH-N4A1 | Primary care referral | HN-N4A1 | SIGNED 2026-05-29 10:12 CT — applied | Voice-hearing checkbox was tinnitus/progressive hearing loss; client denies hallucinations, command content, current intent, and recent self-harm. | Routine / waitlist | — | — | — | 205 | 206 | No high-acuity trigger after signed clarification. | — | Not applicable | No | No | No restricted-contact instruction documented. | No psychosis-safety allocation. | ||
| BH-A8U2 | ED follow-up queue | HN-A8U2 | SIGNED 2026-05-29 10:32 CT — applied | Two loaded BH-ED encounters were reclassified as one urgent-care insomnia visit and one non-behavioral ED visit; no current decompensation. | Routine / waitlist | — | — | — | 205 | 206 | No high-acuity trigger after signed utilization review. | — | Not applicable | No | No | No restricted-contact instruction documented. | Do not treat non-behavioral encounters as behavioral-health ED utilization. | ||
| BH-D5H0 | ED observation follow-up | HN-D5H0 | SIGNED 2026-05-29 09:49 CT — applied | ED observation on 2026-05-21 did not convert to psychiatric inpatient admission; safety plan updated; no current intent or functional deterioration. | Routine / waitlist | — | — | — | 205 | 206 | No high-acuity trigger; observation is not psychiatric inpatient discharge. | — | Not applicable | No | No | No restricted-contact instruction documented. | County Access Safety Net cannot use priority/routine therapy intake from this inventory. |
Slot Reconciliation
| Slot Eligibility and Reservation Decisions | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Only Open slots with blank hold_code are usable. Policy payer carve-outs supersede inventory payer comments; nonclinical orientation never satisfies first clinical contact. | |||||||||||||
| Slot ID | Start CT | Site | Program / specialty | Modality | Clinical minutes | Slot status | Hold code | Payer / plan check | Language / consent check | Client evaluated | Eligibility / carve-out decision | Reservation outcome / rationale | Reservation status |
| S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Open | 246 | English; no telehealth requirement | BH-P8A4 | Eligible for same-day youth Trigger B; guardian verification may remain pending for safety review. | Allocated to BH-P8A4. | Reserved | |
| S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Open | 252 | English; no telehealth requirement | BH-M2N7 | Eligible for command-content same-day review without intent/means. | Allocated to BH-M2N7. | Reserved | |
| S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Open | 246 | Spanish; telehealth consent documented | BH-L0R6 | Eligible for postpartum same-day Trigger D; Central perinatal carve-out does not apply to this rapid-review safety slot. | Allocated to BH-L0R6. | Reserved | |
| S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Open | 246 | English; no telehealth requirement | BH-C3T8 | Eligible for adult same-day Trigger A. | Allocated to BH-C3T8. | Reserved | |
| S-ASR-HOLD-8MV | 46171.6666666667 | East | Adult Safety Review | In-person | 45 | QA release pending | MIGRATION-HOLD | Not evaluated | Not evaluated | — | Unavailable: status is not Open and hold code is present. | Do not use. | Not available |
| P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Open | 273 | English only | BH-S5Q2 | Not eligible for BH-S5Q2: Riverbend Medicaid and Spanish clinical language required. | Not reserved. | Not reserved | |
| P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | Riverbend listed | Spanish, but interpreter confirmation is held | BH-S5Q2 | Unavailable even though language/plan align: status is Hold and hold code is present. | Do not use. | Not available |
| P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Open | 246 | English; no telehealth requirement | BH-X1D5 | Eligible recent psychiatric inpatient-discharge transition contact. | Allocated to BH-X1D5. | Reserved | |
| P-ADT-CEN-5QW | 46173.5416666667 | Central | Adult Therapy Intake | Telehealth | 60 | Open | 289 | English; telehealth consent required | BH-R6W8 considered | Not eligible for BH-R6W8: CedarCare cannot use Central adult therapy in this batch. No other matching allocation selected. | Not reserved. | Not reserved | |
| P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | 293 | English; telehealth consent documented | BH-R6W8 | Eligible: East adult therapy is expressly permitted for CedarCare. | Allocated to BH-R6W8. | Reserved | |
| P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake — perinatal competent | Telehealth | 60 | Open | 298 | English; telehealth consent documented | BH-T9Y6 | Eligible pregnant client without same-day perinatal trigger; East and payer align. | Allocated to BH-T9Y6. | Reserved | |
| P-GRP-4MJ | 46174.5833333333 | West | Skills Group Orientation | In-person | 90 | Open | 304 | English | — | Nonclinical orientation; cannot satisfy first clinical contact or reserved clinical minutes. | Do not use as high-acuity clinical allocation. | Not clinical | |
| P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Open | 309 | English; in-person | BH-Z0B4 | Eligible: Northstar Select requires in-person and this West slot explicitly includes the plan. | Allocated to BH-Z0B4. | Reserved | |
| P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Open | 246 | English; telehealth consent documented | BH-Q2T0 | Eligible perinatal priority follow-up without same-day trigger. | Allocated to BH-Q2T0. | Reserved | |
| P-YTH-H5L | 46176.6527777778 | North | Youth Therapy Intake | In-person | 60 | Open | 246 | English; verified guardian/caregiver authority required | BH-E7V1 | Not eligible: guardian/caregiver authority is not verified, so priority youth therapy cannot be reserved. | Not reserved. | Not reserved | |
| P-POST-HLD-6R2 | 46172.3472222222 | East | Post-Discharge Transition | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | Not evaluated | English | — | Unavailable: status is Tentative and hold code is present. | Do not use. | Not available |
Bridge & Contact
| Bridge Outreach and Protected-Contact Carry-Forward | ||||
|---|---|---|---|---|
| Bridge applies only to non-crisis priority clients. Contact restrictions are operational limits and do not grant broader collateral authority. | ||||
| Client ID | Current clinical appointment | Bridge basis | Bridge action / constraint | Bridge required |
| BH-S5Q2 | No reserved clinical appointment | Stable moderate withdrawal counts for bridge regardless of appointment timing. | Spanish clinical care required; no Open, blank-hold Spanish/Riverbend SUD clinical slot. | Yes |
| BH-E7V1 | No reserved clinical appointment | Priority client has no eligible clinical appointment from current inventory. | Verify guardian/caregiver authority first; retain protected-contact limits. | Yes |
| BH-Z0B4 | P-ADT-V4R — 2026-06-02 08:45 CT | First clinical contact is after 2026-06-01 11:40 CT bridge threshold. | Use bridge outreach; do not use telehealth under Northstar Select carve-out. | Yes |
| BH-Q2T0 | P-PER-F8Q — 2026-06-02 10:30 CT | First clinical contact is after 2026-06-01 11:40 CT bridge threshold. | Use bridge outreach while preserving reserved perinatal follow-up. | Yes |
| Protected-contact caveats to carry forward | ||||
| Client ID | Authorized contact scope | Restriction / verification limit | Scheduling / outreach implication | |
| BH-J4K9 | Client direct only | Do not use ordinary family/collateral outreach. | Crisis transfer: no outpatient access before post-crisis disposition. | |
| BH-P8A4 | School counselor: scheduling status only | Guardian authority is unverified. | Same-day youth safety review may proceed; do not treat this as youth therapy consent. | |
| BH-L0R6 | Client directly or OB social work only | Do not contact partner. | Spanish clinical contact required. | |
| BH-E7V1 | School counselor: scheduling status only | No voicemail or details to stepfather until caseworker confirms authority; guardian/caregiver authority unverified. | Do not reserve youth therapy until authority is verified. |
User prompt → 31 turns · 21 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’ll reconcile the batch strictly against the supplied rules and finalized handoffs, then produce only the requested mem…
I’ll reconcile the batch strictly against the supplied rules and finalized handoffs, then produce only the requested memo and operations workbook. I’m using the document and spreadsheet workflows because the required deliverables are
.docxand.xlsx; if any source is a PDF, I’ll apply the PDF workflow to read it.7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"pwd && rg --files -g '!*output*' -g '!output/**' /workspace | sed -n '1,240p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /workspace /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
8Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"for f in /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/pdf/SKILL.md; do echo \"### $f\"; wc -l \"$f\"; sed -n '1,260p' \"$f\"; done","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: ### /root/.agents/skills/docx/SKILL.md 590 /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 unre
… 25,937 more characters of output in the raw trajectory.
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"sed -n '261,590p' /root/.agents/skills/docx/SKILL.md\nsed -n '261,520p' /root/.agents/skills/xlsx/SKILL.md\nsed -n '261,520p' /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: new Bookmark({ id: "chapter1", children: [new TextRun("Chapter 1")] }), ]}) // 2. Link to it new Paragraph({ children: [new InternalHyperlink({ children: [new TextRun({ text: "See Chapter 1", style: "Hyperlink" })], anchor: "chapter1", })]}) ``` ### Footnotes ```javascript const doc = new Document({ footnotes: { 1: { children: [new Paragraph("Source: Annual Report 2024")] }, 2: { children: [new Paragraph("See appendix for methodology")] }, }, sections: [{ children: [new Paragraph({ children: [ new TextRun("Revenue grew 15%"), new FootnoteReferenceRun(1), new TextRun(" using adjusted metrics"), new FootnoteReferenceRun(2), ], })] }] }); ``` ### Tab Stops ```javascript // Right-align text on same line (e.g., date opposite a title) new Paragraph({ children: [… 13,434 more characters of output in the raw trajectory.
10Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"mkdir -p /tmp/access_review && pdftotext -layout data/access_services_rules_cutover_queue.pdf /tmp/access_review/rules.txt && pandoc --track-changes=all data/signed_clinical_handoff_packet.docx -o /tmp/access_review/handoffs.md && python - <<'PY'\nfrom openpyxl import load_workbook\nfrom pathlib import Path\nfor p in [Path('data/referral_batch_export.xlsx'), Path('data/slot_inventory_and_roster.xlsx')]:\n print(f'### {p.name}')\n wb=load_workbook(p,data_only=False, read_only=True)\n print('sheets:', wb.sheetnames)\n for… 517 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.1 seconds Output: /bin/bash: line 1: pandoc: command not found ### 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… 8,592 more characters of output in the raw trajectory.
11I’ve extracted the controlling desk rules. Next I’m reading the referral, capacity, and handoff records together so that…
I’ve extracted the controlling desk rules. Next I’m reading the referral, capacity, and handoff records together so that signed, in-window handoffs can supersede only their matching export records.
12Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\nfrom pathlib import Path\nfor p in [Path('data/referral_batch_export.xlsx'), Path('data/slot_inventory_and_roster.xlsx')]:\n print(f'### {p.name}')\n wb=load_workbook(p,data_only=False, read_only=True)\n print('sheets:', wb.sheetnames)\n for ws in wb.worksheets:\n print(f'-- {ws.title}: {ws.max_row} rows x {ws.max_column} cols')\n for row in ws.iter_rows(values_only=True):\n print('\\t'.join('' if v is None else str(v) for v in row))\n… 623 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.9 seconds Output: ### referral_batch_export.xlsx sheets: ['Referral_Export', 'Batch_Context', 'Extract_Control'] -- Referral_Export: 17 rows x 30 cols client_id intake_ts_ct source age perinatal_status payer_plan preferred_site clinical_language telehealth_consent guardian_consent_status collateral_contact_note raw_triage_band phq9 gad7 epds functional_impairment current_intent_reported current_death_or_self_harm_thoughts method_or_means_recent safety_plan_on_file nssi_or_self_harm_days_ago medically_attended_self_harm_last_72h psychosis_checkbox command_content_reported substance_withdrawal_status psych_inpatient_discharge_date bh_ed_visits_30d active_bh_provider_seen_within_72h linked_note_id export_comment BH-J4K9 2026-05-29 09:08:00 ED callback 34 No Riverbend Medicaid MCO East English No n/a May contact client only Moderate 15 12 Mod
… 16,976 more characters of output in the raw trajectory.
13Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"find output -maxdepth 1 -type f -printf '%f\\n' 2>/dev/null || true\nnode -e \"try { const d=require('docx'); console.log('docx-js available',require('docx/package.json').version); } catch (e) { console.error('docx-js unavailable:',e.message); process.exitCode=1; }\"\npython - <<'PY'\nimport openpyxl\nprint('openpyxl', openpyxl.__version__)\nPY\nls -l /root/.agents/skills/docx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/recalc.py 2>/dev/null || true\nfind /root/.agents/skills -path '*recalc.py' -o -path '*val… 131 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: docx-js unavailable: Cannot find module 'docx' Require stack: - /workspace/[eval] openpyxl 3.1.5 -rwxr-xr-x 1 root root 3668 Aug 20 02:16 /root/.agents/skills/docx/scripts/office/validate.py -rwxr-xr-x 1 root root 5782 Aug 20 02:16 /root/.agents/skills/xlsx/scripts/recalc.py /root/.agents/skills/docx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/recalc.py
14Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"npm install --prefix /tmp/access_review docx@9.6.1","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 1.9 seconds Output: added 22 packages in 2s 1 package is looking for funding run `npm fund` for details
15exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /tmp/access_review/create_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+from openpyxl.utils import get_column_letter\n+\n+\n+OUT = Path('/workspace/output')\n+OUT.mkdir(parents=True, exist_ok=True)\n+TARGET = OUT / 'routing_reconciliation_workbook.xlsx'\n+\n+NAVY = '1F4E78'\n+TE
Arguments
const patch = "*** Begin Patch\n*** Add File: /tmp/access_review/create_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+from openpyxl.utils import get_column_letter\n+\n+\n+OUT = Path('/workspace/output')\n+OUT.mkdir(parents=True, exist_ok=True)\n+TARGET = OUT / 'routing_reconciliation_workbook.xlsx'\n+\n+NAVY = '1F4E78'\n+TE… 32,921 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}16The reconciliation is now fully mapped: five escalations, five priority placements, two unresolved priority cases, and f…
The reconciliation is now fully mapped: five escalations, five priority placements, two unresolved priority cases, and four bridge-outreach flags. I’m turning that map into the requested lead memo and operational workbook, with the draft handoff excluded and unavailable capacity kept out of allocations.
17exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /tmp/access_review/create_memo.js\n+const fs = require('fs');\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ PageNumber,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+ HeadingLevel,\n+} = require('docx');\n+\n+const output = '/workspace/output/access_reconciliation_memo.docx';\n+const W = 9360;\n+const NAVY = '1F4E78';\n+const TEAL = '0F6B78';\n+const BLUE = 'D9EAF7';\n+const PALE_GRE
Arguments
const patch = "*** Begin Patch\n*** Add File: /tmp/access_review/create_memo.js\n+const fs = require('fs');\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ PageNumber,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+ HeadingLevel,\n+} = require('docx');\n+\n+const output = '/workspace/output/access_reconciliation_memo.docx';\n+const W = 9360;\n+const NAVY = '1F4E78';\n+const TEAL = '0F6B78';\n+const BLUE = 'D9EAF7';\n+const PALE_GRE… 13,450 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}18Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /tmp/access_review/create_workbook.py && node /tmp/access_review/create_memo.js && ls -lh output","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.9 seconds Output: /workspace/output/routing_reconciliation_workbook.xlsx /tmp/access_review/create_memo.js:167 { headerSize: 16, size: 24, rowFills: [PALE_BLUE] }, ^ ReferenceError: PALE_BLUE is not defined at Object.<anonymous> (/tmp/access_review/create_memo.js:167:48) at Module._compile (node:internal/modules/cjs/loader:1781:14) at Object..js (node:internal/modules/cjs/loader:1913:10) at Module.load (node:internal/modules/cjs/loader:1505:32) at Function._load (node:internal/modules/cjs/loader:1309:12) at wrapModuleLoad (node:internal/modules/cjs/loader:254:19) at Function.executeUserEntryPoint [as runMain] (node:internal/modules/run_main:171:5) at node:internal/main/run_main_module:36:49 Node.js v22.23.219exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: /tmp/access_review/create_memo.js\n@@\n- { headerSize: 16, size: 24, rowFills: [PALE_BLUE] },\n+ { headerSize: 16, size: 24, rowFills: [BLUE] },\n*** End Patch"; const r = await tools.apply_patch(patch); text(typeof r === "string" ? r : JSON.stringify(r));
Arguments
const patch = "*** Begin Patch\n*** Update File: /tmp/access_review/create_memo.js\n@@\n- { headerSize: 16, size: 24, rowFills: [PALE_BLUE] },\n+ { headerSize: 16, size: 24, rowFills: [BLUE] },\n*** End Patch"; const r = await tools.apply_patch(patch); text(typeof r === "string" ? r : JSON.stringify(r));Output
Script completed Wall time 0.0 seconds Output: {}20Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node /tmp/access_review/create_memo.js && ls -lh output","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.3 seconds Output: /workspace/output/access_reconciliation_memo.docx total 40K -rw-r--r-- 1 root root 16K Aug 20 02:20 access_reconciliation_memo.docx -rw-r--r-- 1 root root 23K Aug 20 02:20 routing_reconciliation_workbook.xlsx
21Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx && python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60 && rm -rf /tmp/access_review/memo_pdf /tmp/access_review/xlsx_pdf && mkdir -p /tmp/access_review/memo_pdf /tmp/access_review/xlsx_pdf && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_review/memo_pdf output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/… 410 more characters of arguments in the raw trajectory.
Output
Script failed Wall time 0.0 seconds Output: Script error: exec_command failed for `/bin/bash -lc "python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx && python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60 && rm -rf /tmp/access_review/memo_pdf /tmp/access_review/xlsx_pdf && mkdir -p /tmp/access_review/memo_pdf /tmp/access_review/xlsx_pdf && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_review/memo_pdf output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_review/xlsx_pdf output/routing_reconciliation_workbook.xlsx && pdfinfo /tmp/access_review/memo_pdf/access_reconciliation_memo.pdf | sed -n '1,25p' && pdfinfo /tmp/access_review/xlsx_pdf/routing_reconciliation_workboo
… 1,030 more characters of output in the raw trajectory.
22The first files are generated. I’m validating both formats now, including spreadsheet formula recalculation and a visual…
The first files are generated. I’m validating both formats now, including spreadsheet formula recalculation and a visual render check, before I hand them over.
23Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx\npython /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 4.4 seconds Output: Paragraphs: 0 → 151 (+151) All validations PASSED! { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 8 }24Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"review_dir=$(mktemp -d)\nprintf '%s' \"$review_dir\" > /tmp/access_review/render_dir_path\nmkdir -p \"$review_dir/memo\" \"$review_dir/workbook\"\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$review_dir/memo\" output/access_reconciliation_memo.docx\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$review_dir/workbook\" output/routing_reconciliation_workbook.xlsx\npdfinfo \"$review_dir/memo/access_reconciliatio… 567 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.5 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/tmp.K12a9pZXhr/memo/access_reconciliation_memo.pdf using filter : writer_pdf_Export Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/routing_reconciliation_workbook.xlsx as a Calc document -> /tmp/tmp.K12a9pZXhr/workbook/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Pages: 3 Page size: 612 x 792 pts (letter) Pages: 4 Page size: 612 x 792 pts (letter) Render files: /tmp/tmp.K12a9pZXhr/memo/access_reconciliation_memo.pdf /tmp/tmp.K12a9pZXhr/memo/page-1.jpg /tmp/tmp.K12a9pZXhr/memo/page-2.jpg /tmp/tmp.K12a9pZXhr/memo/page-3.jpg /tmp/tmp.K12a9pZXhr/workbook/page-1.jpg /tmp/tmp.K12a9pZXhr/workbook/page-2.jpg
… 151 more characters of output in the raw trajectory.
25exec1
Tool execution only — no assistant text
execconst paths = [ "/tmp/tmp.K12a9pZXhr/memo/page-1.jpg", "/tmp/tmp.K12a9pZXhr/memo/page-2.jpg", "/tmp/tmp.K12a9pZXhr/memo/page-3.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-1.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-2.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-3.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-4.jpg" ]; for (const path of paths) { const r = await tools.view_image({path, detail:"high"}); image(r.image_url, "high"); }
Arguments
const paths = [ "/tmp/tmp.K12a9pZXhr/memo/page-1.jpg", "/tmp/tmp.K12a9pZXhr/memo/page-2.jpg", "/tmp/tmp.K12a9pZXhr/memo/page-3.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-1.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-2.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-3.jpg", "/tmp/tmp.K12a9pZXhr/workbook/page-4.jpg" ]; for (const path of paths) { const r = await tools.view_image({path, detail:"high"}); image(r.image_url, "high"); }Output
Script completed Wall time 0.1 seconds Output:
… 1,025,319 more characters of output in the raw trajectory.
26exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: /tmp/access_review/create_memo.js\n@@\n- p('Do not count BH-J4K9, any same-day-review client, or routine/waitlist clients in bridge outreach.', { italics: true, size: 17, after: 70 }),\n+ p('Do not count BH-J4K9, any same-day-review client, or routine/waitlist clients in bridge outreach. Routine / waitlist with no high-acuity reservation: BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0.', { italics: true, size: 17, after: 70 }),\n@@\n- sectionHeading('6. Routine / waitlist disposition'),\n- p([run('No high-acuity slo
Arguments
const patch = "*** Begin Patch\n*** Update File: /tmp/access_review/create_memo.js\n@@\n- p('Do not count BH-J4K9, any same-day-review client, or routine/waitlist clients in bridge outreach.', { italics: true, size: 17, after: 70 }),\n+ p('Do not count BH-J4K9, any same-day-review client, or routine/waitlist clients in bridge outreach. Routine / waitlist with no high-acuity reservation: BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0.', { italics: true, size: 17, after: 70 }),\n@@\n- sectionHeading('6. Routine / waitlist disposition'),\n- p([run('No high-acuity slo… 897 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}27Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node /tmp/access_review/create_memo.js\npython /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx\nreview_dir=$(mktemp -d)\nmkdir -p \"$review_dir/memo\"\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$review_dir/memo\" output/access_reconciliation_memo.docx\npdfinfo \"$review_dir/memo/access_reconciliation_memo.pdf\" | rg 'Pages|Page size'\npdftoppm -jpeg -r 120 -f 1 -l 2 \"$review_dir/memo/access_reconciliation_memo.pdf\"… 224 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.9 seconds Output: /workspace/output/access_reconciliation_memo.docx Paragraphs: 0 → 148 (+148) All validations PASSED! Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/tmp.N4uc6o1qkR/memo/access_reconciliation_memo.pdf using filter : writer_pdf_Export Pages: 2 Page size: 612 x 792 pts (letter) /tmp/tmp.N4uc6o1qkR/memo/page-1.jpg /tmp/tmp.N4uc6o1qkR/memo/page-2.jpg
28exec1
Tool execution only — no assistant text
execconst paths = [ "/tmp/tmp.N4uc6o1qkR/memo/page-1.jpg", "/tmp/tmp.N4uc6o1qkR/memo/page-2.jpg" ]; for (const path of paths) { const r = await tools.view_image({path, detail:"high"}); image(r.image_url, "high"); }
Arguments
const paths = [ "/tmp/tmp.N4uc6o1qkR/memo/page-1.jpg", "/tmp/tmp.N4uc6o1qkR/memo/page-2.jpg" ]; for (const path of paths) { const r = await tools.view_image({path, detail:"high"}); image(r.image_url, "high"); }Output
Script completed Wall time 0.1 seconds Output:
… 595,896 more characters of output in the raw trajectory.
29Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\nfrom pathlib import Path\np=Path('output/routing_reconciliation_workbook.xlsx')\nwbv=load_workbook(p, data_only=True, read_only=True)\nwbf=load_workbook(p, data_only=False, read_only=True)\nprint('files', sorted(x.name for x in Path('output').iterdir() if x.is_file()))\nprint('sheets', wbv.sheetnames)\nws=wbv['Summary']\nfor c in ['B6','D6','F6','H6','B9','D9','F9','H9']:\n print(c, ws[c].value)\nprint('formulas')\nwsf=wbf['Summary']\nfor c in ['B6','D6','F6','H6','B9','… 646 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: Traceback (most recent call last): File "<stdin>", line 17, in <module> AttributeError: 'ReadOnlyWorksheet' object has no attribute 'tables' files ['access_reconciliation_memo.docx', 'routing_reconciliation_workbook.xlsx'] sheets ['Summary', 'Client Routing', 'Slot Reconciliation', 'Bridge & Contact'] B6 16 D6 5 F6 5 H6 2 B9 4 D9 4 F9 9 H9 480 formulas B6 =COUNTA('Client Routing'!A5:A20) D6 =COUNTIF('Client Routing'!K5:K20,"Escalation") F6 =COUNTIFS('Client Routing'!K5:K20,"Priority",'Client Routing'!P5:P20,"Reserved") H6 =COUNTIFS('Client Routing'!K5:K20,"Priority",'Client Routing'!P5:P20,"No reservation") B9 =COUNTIF('Client Routing'!Q5:Q20,"Yes") D9 =COUNTIF('Client Routing'!R5:R20,"Yes") F9 =COUNTIF('Slot Reconciliation'!N5:N20,"Reserved") H9 =SUMIF('Slot Reconciliation'!N5:N20,"Reserved",'Slot Reconciliat… 135 more characters of output in the raw trajectory.
30Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\nfrom pathlib import Path\nfrom zipfile import ZipFile\np=Path('output/routing_reconciliation_workbook.xlsx')\nwb=load_workbook(p, data_only=True)\nfor s in ['Client Routing','Slot Reconciliation','Bridge & Contact']:\n ws=wb[s]\n print(s, ws.max_row, ws.max_column, 'tables', sorted(ws.tables.keys()))\nprint('routing outcomes')\nws=wb['Client Routing']\nfor r in range(5,21):\n print('|'.join(str(ws.cell(r,c).value or '') for c in [1,6,9,16,17,18]))\nwith ZipFile('ou… 295 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: Client Routing 20 20 tables ['ClientRouting'] Slot Reconciliation 20 14 tables ['SlotReconciliation'] Bridge & Contact 16 5 tables ['BridgeOutreach', 'ProtectedContacts'] routing outcomes BH-J4K9|Crisis transfer|—|Not applicable|No|Yes BH-C3T8|Same-day clinician review — Trigger A|S-ASR-3P1|Reserved|No|No BH-P8A4|Same-day clinician review — Trigger B|S-YSF-A7Q|Reserved|No|Yes BH-M2N7|Same-day clinician review — Trigger C|S-PSY-9D2|Reserved|No|No BH-L0R6|Same-day clinician review — Trigger D|S-PERI-2B|Reserved|No|Yes BH-X1D5|Priority access|P-PDT-6N4|Reserved|No|No BH-S5Q2|Priority access|—|No reservation|Yes|No BH-R6W8|Priority access|P-ADT-K3M|Reserved|No|No BH-E7V1|Priority access|—|No reservation|Yes|Yes BH-Q2T0|Priority access|P-PER-F8Q|Reserved|Yes|No BH-Z0B4|Priority access|P-ADT-V4R|Reserved|Yes|No BH-T9Y6|Priority access|P-ADT-TRI|Reserved|No|No
… 298 more characters of output in the raw trajectory.
31Completed and validated. - [Access reconciliation memo](/workspace/output/access_reconciliation_memo.docx) - [Routing re…
Completed and validated.
- Access reconciliation memo
- Routing reconciliation workbook
Summary: 5 escalations, 5 priority reservations, 2 unresolved priority cases, 4 bridge-outreach flags, and 4 protected-contact caveats.
2 failure modes across 2 verifier failures
1Allocation or Selection Plan IncorrectView on Failure Modes ↗Reasoning and Computation1 failure
Description
After eligibility is established, does the artifact assign a scarce resource, facing, shelf position, assortment item, or appointment slot to the wrong recipient or produce the wrong required final set?
Failure evidence · per affected verifier
The bridge-outreach section states the correct four clients with the correct count, but the section also lists the four routine/waitlist clients as if they belonged in the bridge-outreach set.
2Required Rationale or Authority Statement OmittedView on Failure Modes ↗Presentation and Communication1 failure
Description
Is the underlying decision correct or substantially present, but the memo fails to state a required rule hierarchy, source-governance principle, item-specific reason, signed-term basis, or operating condition?
Failure evidence · per affected verifier
The memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.