task_53Health care and social assistance
All trialsGPT-5.6 TerracodexTrial 02
Trial reward
GPT-5.6 TerraPass
Trial 02 — 1st of 4 by reward score. This model averages 89.1% across 4 trials on this task.
- 13/13Core verifiers passed
- 17/17All verifiers passed
- 35Turns
- 25Tool calls
- $1.09Cost
- 15.8mTime
- 46kOutput tokens
Passed every verifier it was graded on.
core (13)
memo_escalationLLMPass
Why it mattersThe escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.
How to passChecks whether the memo presents the correct ranked escalation queue and crisis handling.
Reads
memo_count_consistencyLLMPass
Why it mattersIncorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.
How to passChecks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.
Reads
unresolved_priorityLLMPass
Why it mattersUnresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.
How to passChecks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.
Reads
bridge_outreachLLMPass
Why it mattersBridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.
How to passChecks whether the memo applies the bridge-outreach rule to the correct clients.
Reads
slot_eligibilityLLMPass
Why it mattersSlot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.
How to passChecks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.
Reads
workbook_completenessLLMPass
Why it mattersThe operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.
How to passChecks whether the workbook provides complete client-level coverage for the full batch.
Reads
workbook_routing_accuracyLLMPass
Why it mattersClient-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.
How to passChecks whether the workbook records the correct routing pathway for every client.
Reads
workbook_slot_listLLMPass
Why it mattersOperations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.
How to passChecks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.
Reads
workbook_slot_pairsLLMPass
Why it mattersCorrect client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.
How to passChecks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.
Reads
workbook_outreachLLMPass
Why it mattersOperations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.
How to passChecks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.
Reads
workbook_protected_contactLLMPass
Why it mattersThe workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.
How to passChecks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.
Reads
routine_waitlist_edge_casesLLMPass
Why it mattersThese edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.
How to passChecks whether the workbook correctly resolves the four routine/waitlist edge cases.
Reads
memo_protected_contactLLMPass
Why it mattersThe memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.
How to passChecks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.
Reads
secondary (4)
source_hierarchyLLMPass
Why it mattersThe source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.
How to passChecks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.
Reads
scope_controlLLMPass
Why it mattersThe deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.
How to passChecks whether the memo stays within access-routing scope rather than giving clinical treatment advice.
Reads
workbook_exclusionsLLMPass
Why it mattersA strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.
How to passChecks whether the workbook documents why tempting capacity was not usable for unresolved clients.
Reads
side_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
Meadowbrook Behavioral Health Access Services
Friday Cutover Queue Reconciliation
Prepared for the urgent-access lead | Batch review completed 2026-05-29 11:40 CT | Administrative routing only
Decision basis. The access desk reference controls routing, bridge outreach, payer carve-outs, slot eligibility, language/modality requirements, and contact restrictions. Signed handoffs finalized within the 09:30–11:40 CT review window were applied for matching clients. HN-T9Y6-DRAFT is unsigned and was not used. Raw triage bands are retained only as source labels, not as dispositions.
Reservation wording. “Reserve” below is the reconciliation instruction for the cited Open, blank-hold inventory row. No unlisted capacity, blocked/held/tentative/QA-release-pending row, or nonclinical orientation is used.
Decision snapshot
Measure
Result
Measure
Result
Referrals reconciled
16
Escalation before ordinary scheduling
5 clients: 1 crisis transfer and 4 same-day clinician reviews.
Priority-access clients
7
Reservation decisions
5 priority clients have an eligible clinical appointment; 2 are unresolved.
Bridge-outreach flags
4
Protected-contact records
4 clients have a client/guardian/partner/collateral restriction to carry forward.
High-acuity reservation decisions
9
Reserved clinical minutes
480 minutes across Open, blank-hold clinical rows only.
Escalation queue — policy order
Crisis transfer ranks first. Same-day reviews follow the policy order: Trigger A, then B, then C, then D. The crisis-transfer client has no outpatient slot and is excluded from bridge counts until post-crisis disposition is known.
Rank
Client
Pathway
Controlling facts
Reservation decision
Protected-contact caveat
1
BH-J4K9
Crisis transfer
Signed handoff: intent to act tonight, accessible medication stockpile, medically attended self-harm on 5/27, and mobile-crisis warm transfer accepted.
Do not reserve outpatient access. Crisis disposition remains the gate.
Client only; no ordinary collateral outreach.
2
BH-C3T8
Same-day Trigger A
Current self-harm thoughts; medication means considered within 30 days and supply accessible; no safety plan. Handoff denies current intent.
Reserve S-ASR-3P1, 5/29 15:10 CT, East in-person, 45 min.
No protected-contact restriction stated.
3
BH-P8A4
Same-day Trigger B
Age 16; cutting six days ago and current death/self-harm thoughts. No current intent.
Reserve S-YSF-A7Q, 5/29 13:05 CT, North in-person, 45 min. Guardian verification may remain pending for same-day safety.
Guardian authority unverified; school counselor receives scheduling status only.
4
BH-M2N7
Same-day Trigger C
Command voice tells client to step into traffic; client denies intent and access to vehicle or weapon.
Reserve S-PSY-9D2, 5/29 13:30 CT, East in-person, 45 min.
No protected-contact restriction stated.
5
BH-L0R6
Same-day Trigger D
Eight weeks postpartum; intrusive infant-harm images; sleep averages 2.5 hours/night and reliable support was not confirmed; no intent.
Reserve S-PERI-2B, 5/29 14:20 CT, Central telehealth, Spanish, 45 min.
Do not contact partner; outreach is client direct or OB social work only.
Priority-access reservation decisions
Five priority clients can be placed in eligible clinical appointments. The listed appointment start is the first reserved clinical contact used for bridge-threshold evaluation.
Client
Priority criterion
Reserve slot
Start (CT)
Minutes
Eligibility / bridge result
BH-X1D5
Psychiatric inpatient discharge 5/24; within 7 calendar days.
P-PDT-6N4
5/31 10:40 CT
60
Eligible Open/blank-hold East post-discharge transition visit. Bridge not required.
BH-R6W8
GAD-7 19 plus severe homebound impairment; no active provider in 72 hours.
P-ADT-K3M
6/1 09:20 CT
60
Eligible East telehealth with signed consent. CedarCare carve-out blocks earlier Central adult-therapy row. Bridge not required.
BH-T9Y6
GAD-7 19 plus severe work impairment; no active provider in 72 hours.
P-ADT-TRI
6/1 10:15 CT
60
Eligible East perinatal-competent telehealth with BlueChoice and signed consent. HN-T9Y6-DRAFT is unsigned and ignored. Bridge not required.
BH-Z0B4
PHQ-9 22 plus severe missed-work impairment; no active provider in 72 hours.
P-ADT-V4R
6/2 08:45 CT
60
Eligible West in-person Northstar Select row. Telehealth is excluded by plan; bridge required because first clinical contact is after threshold.
BH-Q2T0
EPDS 17 without same-day perinatal trigger.
P-PER-F8Q
6/2 10:30 CT
60
Eligible Central perinatal telehealth with Riverbend, consent, and English. Bridge required because first clinical contact is after threshold.
Unresolved priority cases
Client
Priority basis
Why no eligible clinical slot can be reserved
Bridge status
Contact / language constraint
BH-S5Q2
Stable moderate alcohol-withdrawal presentation; Spanish clinical care required.
No eligible Spanish/Riverbend clinical SUD slot. P-SUD-7CX is Hold / INTERPRETER-UNCONFIRMED; P-SUD-1FZ is English and Commercial/Self-pay; group orientation is nonclinical.
Bridge required for all stable moderate-withdrawal/SUD priority clients, regardless of appointment timing.
No protected-contact restriction; maintain Spanish clinical language requirement.
BH-E7V1
Age 14; self-injury about 21 days ago and no current self-harm thoughts.
P-YTH-H5L is Open but cannot be reserved: priority youth therapy requires verified guardian/caregiver authority. The same-day youth-safety exception does not apply.
Bridge required because no eligible clinical appointment can be reserved.
No voicemail or details with stepfather; guardian authority unverified; school counselor gets scheduling status only.
Bridge-outreach queue
Bridge threshold: 2026-06-01 11:40 CT. Stable moderate-withdrawal/SUD priority cases are included regardless of appointment timing. Same-day reviews, routine cases, and the crisis transfer do not enter the bridge count.
Client
First clinical contact / status
Bridge basis
Carry-forward constraint
BH-S5Q2
No eligible appointment
Stable moderate-withdrawal/SUD priority client is always a bridge-outreach case.
Spanish clinical care required; do not use held interpreter-confirmation capacity.
BH-E7V1
No eligible appointment
No priority youth therapy slot can be reserved until guardian/caregiver authority is verified.
Use the protected-contact caveat; school counselor gets scheduling status only.
BH-Z0B4
P-ADT-V4R, 6/2 08:45 CT
First clinical contact is after 6/1 11:40 CT bridge threshold.
Northstar Select permits only the reserved West in-person route.
BH-Q2T0
P-PER-F8Q, 6/2 10:30 CT
First clinical contact is after 6/1 11:40 CT bridge threshold.
No protected-contact restriction stated.
Protected-contact caveats
Client
Queue status
Restriction
Operational carry-forward
BH-J4K9
Crisis transfer
Client direct only.
Do not use ordinary family, partner, guardian, or other collateral outreach.
BH-P8A4
Same-day youth safety review
Guardian authority is not verified; school counselor may receive scheduling status only.
Do not treat the safety-review exception as authority for routine/priority therapy or broader collateral contact.
BH-L0R6
Same-day perinatal review
Partner may not be contacted.
Outreach must be client direct or through OB social work only.
BH-E7V1
Priority unresolved
No voicemail or details with stepfather; guardian authority is not verified; school counselor gets scheduling status only.
No priority youth therapy reservation until authority is verified.
Routine / waitlist reconciliations
These four referrals are not escalation or priority-access cases after the authoritative signed handoff corrections. No current high-acuity inventory row is reserved for them.
Client
Final pathway
Controlling reconciliation fact
BH-V9F3
Routine / waitlist
Signed handoff documents an outside therapist visit at 08:15 on 5/29, existing psychiatrist, safety-plan review, and no current acute concern; avoid duplicative urgent access.
BH-N4A1
Routine / waitlist
Signed handoff clarifies the voice-hearing checkbox reflects tinnitus/progressive hearing loss; client denies hallucinations, commands, intent, and recent self-harm.
BH-A8U2
Routine / waitlist
Signed utilization review reclassifies both loaded events as urgent-care insomnia/non-behavioral ED; no behavioral-health ED visit remains and no current decompensation is documented.
BH-D5H0
Routine / waitlist
Signed note confirms ED observation did not become psychiatric inpatient admission; observation does not qualify as psychiatric inpatient discharge.
High-acuity reservation register — chronological
The register includes all same-day and priority clinical reservation decisions, ordered by appointment start time. It excludes the crisis transfer, routine/waitlist cases, held/tentative/QA-release-pending rows, and nonclinical orientation.
Start (CT)
Client
Slot ID
Clinical contact
Minutes
5/29 13:05 CT
BH-P8A4
S-YSF-A7Q
Youth Safety Review
45
5/29 13:30 CT
BH-M2N7
S-PSY-9D2
Psychosis Safety Review
45
5/29 14:20 CT
BH-L0R6
S-PERI-2B
Perinatal Rapid Review
45
5/29 15:10 CT
BH-C3T8
S-ASR-3P1
Adult Safety Review
45
5/31 10:40 CT
BH-X1D5
P-PDT-6N4
Post-Discharge Transition
60
6/1 09:20 CT
BH-R6W8
P-ADT-K3M
Adult Therapy Intake
60
6/1 10:15 CT
BH-T9Y6
P-ADT-TRI
Adult Therapy Intake — perinatal competent
60
6/2 08:45 CT
BH-Z0B4
P-ADT-V4R
Adult Therapy Intake
60
6/2 10:30 CT
BH-Q2T0
P-PER-F8Q
Perinatal Follow-Up
60
Reserved clinical minutes: 480
Summary
| Meadowbrook Behavioral Health Access Services — Cutover Queue Routing Reconciliation | |||||||
|---|---|---|---|---|---|---|---|
| Administrative routing only | Controlled by ACC-UR-0529-CUTOVER | Batch review: 2026-05-29 11:40 CT | |||||||
| Decision snapshot | 3 | ||||||
| Total referrals reconciled | 16 | 5 | |||||
| Crisis transfers | 1 | 7 | |||||
| Same-day clinician reviews | 4 | 9 | |||||
| Priority-access clients | 7 | 11 | |||||
| Priority clients with slot decision: Reserve | 5 | 13 | |||||
| Priority clients unresolved | 2 | 15 | |||||
| Routine / waitlist | 4 | ||||||
| Bridge-outreach flags | 4 | ||||||
| Restricted-contact records | 4 | ||||||
| High-acuity reservation decisions | 9 | ||||||
| Reserved clinical minutes | 480 | ||||||
| Chronological high-acuity reservation decisions | |||||||
| Start (CT) | Client ID | Slot ID | Program / clinical contact | Site | Modality | Minutes | Bridge flag |
| 46171.5451388889 | BH-P8A4 | S-YSF-A7Q | Youth Safety Review | North | In-person | 45 | Not applicable - same-day |
| 46171.5625 | BH-M2N7 | S-PSY-9D2 | Psychosis Safety Review | East | In-person | 45 | Not applicable - same-day |
| 46171.5972222222 | BH-L0R6 | S-PERI-2B | Perinatal Rapid Review | Central | Telehealth | 45 | Not applicable - same-day |
| 46171.6319444445 | BH-C3T8 | S-ASR-3P1 | Adult Safety Review | East | In-person | 45 | Not applicable - same-day |
| 46173.4444444445 | BH-X1D5 | P-PDT-6N4 | Post-Discharge Transition | East | In-person | 60 | Not required |
| 46174.3888888889 | BH-R6W8 | P-ADT-K3M | Adult Therapy Intake | East | Telehealth | 60 | Not required |
| 46174.4270833333 | BH-T9Y6 | P-ADT-TRI | Adult Therapy Intake — perinatal competent | East | Telehealth | 60 | Not required |
| 46175.3645833333 | BH-Z0B4 | P-ADT-V4R | Adult Therapy Intake | West | In-person | 60 | Required |
| 46175.4375 | BH-Q2T0 | P-PER-F8Q | Perinatal Follow-Up | Central | Telehealth | 60 | Required |
| Reservation instruction is a reconciliation decision against the listed Open / blank-hold inventory row; no unlisted capacity is assumed. |
Client Routing
| Client-level routing decisions | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| All 16 referrals reconciled. Final pathway is based on the controlling desk reference and eligible signed in-window handoffs. | |||||||||||||||||||||
| Client ID | Source | Age | Payer / plan | Site / modality constraint | Clinical language | Handoff ID / status | Handoff use | Handoff impact / final facts | Raw triage band (informational) | Final pathway | Escalation rank / trigger | Priority basis | Decisive routing facts | Protected-contact caveat | Proposed slot ID | Appointment start (CT) | Clinical minutes | Slot decision | Bridge outreach | Unresolved priority constraint | Rule / capacity rationale |
| BH-J4K9 | ED callback | 34 | Riverbend Medicaid MCO | East / outpatient not permitted pending crisis disposition | English | HN-J4K9 — SIGNED 2026-05-29 11:18 CT | Applied; in-window signed handoff overrides export intent/means facts. | Handoff reports intent tonight, accessible medication stockpile, medically attended self-harm on 2026-05-27, and mobile-crisis warm transfer accepted. | Moderate | Crisis transfer | 1 — Crisis transfer | — | Current intent plus accessible means; medically attended self-harm within 72 hours plus current intent. | Restricted — contact client only; do not use ordinary collateral outreach. | 103 | Excluded - crisis | 105 | ||||
| BH-C3T8 | Primary care warm handoff | 47 | Riverbend Medicaid MCO | East / in-person | English | HN-C3T8 — SIGNED 2026-05-29 10:02 CT | Applied; confirms same-day facts and no safety plan. | Current self-harm thoughts; medication quantities reviewed 18 days ago with supply accessible; no safety plan; no current intent. | High | Same-day clinician review | 2 — Same-day Trigger A | — | Current thoughts with method/means considered within 30 days and no documented safety plan. | No protected-contact restriction stated. | S-ASR-3P1 | 46171.6319444445 | 45 | Reserve | Not applicable - same-day | 117 | |
| BH-P8A4 | School referral | 16 | Riverbend Medicaid MCO | North / in-person | English | HN-P8A4 — SIGNED 2026-05-29 10:41 CT | Applied; confirms recent self-injury, current thoughts, and guardian status. | Age 16; cutting six days ago; current death/self-harm thoughts; no current intent; guardian authority not verified. | High | Same-day clinician review | 3 — Same-day Trigger B | — | Youth self-injury within 14 days plus current death/self-harm thoughts. | Restricted — guardian authority unverified; school counselor may receive scheduling status only. | S-YSF-A7Q | 46171.5451388889 | 45 | Reserve | Not applicable - same-day | 126 | |
| BH-M2N7 | Self referral | 22 | Self-pay | East / in-person | English | HN-M2N7 — SIGNED 2026-05-29 10:36 CT | Applied; confirms command content with no intent or means. | Command voice tells client to step into traffic; client denies intent and access to vehicle or weapon. | High | Same-day clinician review | 4 — Same-day Trigger C | — | Active command hallucinations to harm self/others without intent or accessible means. | No protected-contact restriction stated. | S-PSY-9D2 | 46171.5625 | 45 | Reserve | Not applicable - same-day | 134 | |
| BH-L0R6 | OB clinic | 29 | Riverbend Medicaid MCO | Central / telehealth | Spanish required | HN-L0R6 — SIGNED 2026-05-29 10:58 CT | Applied; supplies sleep, support, language, and outreach restrictions. | Eight weeks postpartum; intrusive infant-harm images; sleep averages 2.5 hours; reliable support not confirmed; no intent. | Moderate | Same-day clinician review | 5 — Same-day Trigger D | — | Postpartum intrusive-harm thoughts plus sleep at or below 3 hours/night and no confirmed reliable support. | Restricted — do not contact partner; contact client directly or OB social work only. | S-PERI-2B | 46171.5972222222 | 45 | Reserve | Not applicable - same-day | 144 | |
| BH-X1D5 | Inpatient discharge planning | 41 | Riverbend Medicaid MCO | East / in-person | English | HN-X1D5 — SIGNED 2026-05-29 09:55 CT | Applied; confirms psychiatric inpatient discharge date and no current intent. | Psychiatric inpatient discharge on 2026-05-24; safety plan on file; no current intent. | Moderate | Priority access | — | Psychiatric inpatient discharge within 7 calendar days of batch review. | Recent psychiatric inpatient discharge; no higher-action trigger supported. | No protected-contact restriction stated. | P-PDT-6N4 | 46173.4444444445 | 60 | Reserve | Not required | 152 | |
| BH-S5Q2 | Primary care warm handoff | 58 | Riverbend Medicaid MCO | West preferred / clinical language requirement | Spanish required | HN-S5Q2 — SIGNED 2026-05-29 10:24 CT | Applied; confirms stable moderate withdrawal and Spanish clinical requirement. | Stable moderate alcohol-withdrawal presentation; not intoxicated; Spanish clinical care required. | High | Priority access | — | Stable moderate substance-withdrawal presentation. | Stable moderate withdrawal creates priority access; no crisis or same-day trigger documented. | No protected-contact restriction; Spanish clinical outreach/care is required. | 161 | Required | No eligible clinical SUD slot: P-SUD-7CX is Hold / INTERPRETER-UNCONFIRMED; P-SUD-1FZ is English and Commercial/Self-pay only; group orientation is nonclinical. | All stable moderate-withdrawal/SUD priority clients require bridge outreach regardless of appointment timing. Do not use held or nonclinical capacity. | |||
| BH-R6W8 | Self referral | 37 | CedarCare Medicaid | East / telehealth consent signed | English | HN-R6W8 — SIGNED 2026-05-29 10:50 CT | Applied; confirms severity, no suicidal thoughts, telehealth consent, and Monday availability. | GAD-7 19 with severe homebound panic; no active behavioral-health provider within 72 hours; telehealth consent confirmed. | Moderate | Priority access | — | GAD-7 at least 18 plus severe functional impairment and no active provider seen within 72 hours. | No crisis or same-day trigger documented. | No protected-contact restriction stated. | P-ADT-K3M | 46174.3888888889 | 60 | Reserve | Not required | 171 | |
| BH-E7V1 | School referral | 14 | Riverbend Medicaid MCO | North / in-person if authority verified | English | HN-E7V1 — SIGNED 2026-05-29 11:05 CT | Applied; confirms self-injury timing, no current thoughts, and guardian/contact restrictions. | Age 14; self-injury about 21 days ago; no current self-harm thoughts; guardian/caregiver authority not verified. | High | Priority access | — | Youth self-injury 15–30 days ago with no current self-harm thoughts. | No same-day youth trigger; current priority therapy intake cannot proceed without verified authority. | Restricted — no voicemail or details with stepfather; guardian authority unverified; school counselor scheduling status only. | 161 | Required | P-YTH-H5L cannot be reserved because priority youth therapy requires verified guardian/caregiver authority. | Youth same-day exception does not apply to priority therapy. Bridge flag applies because no eligible clinical appointment can be reserved. | |||
| BH-Q2T0 | OB clinic | 31 | Riverbend Medicaid MCO | Central / telehealth | English | HN-Q2T0 — SIGNED 2026-05-29 10:47 CT | Applied; confirms support, sleep, no intrusive-harm content, and perinatal follow-up request. | Five months postpartum; EPDS 17; sleep around five hours; partner and sister available; no intrusive-harm content. | Moderate | Priority access | — | EPDS at least 16 without a same-day perinatal trigger. | Perinatal priority without same-day trigger. | No protected-contact restriction stated. | P-PER-F8Q | 46175.4375 | 60 | Reserve | Required | 187 | |
| BH-Z0B4 | Primary care referral | 52 | Northstar Select | West / in-person only | English | HN-Z0B4 — SIGNED 2026-05-29 10:52 CT | Applied; confirms West preference, Northstar Select coverage, and no ideation/psychosis. | PHQ-9 22 with severe missed-work impairment; no active behavioral-health provider within 72 hours; Northstar Select. | High | Priority access | — | PHQ-9 at least 20 plus severe functional impairment and no active provider seen within 72 hours. | No crisis or same-day trigger documented. | No protected-contact restriction stated. | P-ADT-V4R | 46175.3645833333 | 60 | Reserve | Required | 195 | |
| BH-T9Y6 | OB clinic | 30 | BlueChoice PPO | East / telehealth consent signed | English | HN-T9Y6-DRAFT — DRAFT UNSIGNED 2026-05-29 11:35 CT | Ignored; unsigned draft cannot override export facts. | GAD-7 19 with severe panic preventing work; no active behavioral-health provider within 72 hours; no same-day perinatal trigger documented. | Moderate | Priority access | — | GAD-7 at least 18 plus severe functional impairment and no active provider seen within 72 hours. | Unsigned draft suggesting routine follow-up is not used. | No protected-contact restriction stated. | P-ADT-TRI | 46174.4270833333 | 60 | Reserve | Not required | 201 | |
| BH-V9F3 | Primary care referral | 27 | Northstar Select | East / no urgent access slot needed | English | HN-V9F3 — SIGNED 2026-05-29 10:44 CT | Applied; overrides export provider-seen field. | Signed note documents outside therapist at 08:15 on 2026-05-29, existing psychiatrist, safety-plan review, and no current intent/psychosis/withdrawal concern. | High | Routine / waitlist | — | — | High score is already covered by an active behavioral-health provider seen within 72 hours. | No protected-contact restriction stated. | 208 | Not applicable - routine | 210 | ||||
| BH-N4A1 | Primary care referral | 63 | Riverbend Medicaid MCO | Central / no urgent access slot needed | English | HN-N4A1 — SIGNED 2026-05-29 10:12 CT | Applied; overrides psychosis checkbox interpretation. | Signed note attributes checkbox to tinnitus/progressive hearing loss; client denies hallucinations, command content, current intent, and recent self-harm. | High | Routine / waitlist | — | — | No crisis, same-day, or priority criterion remains after signed clarification. | No protected-contact restriction stated. | 208 | Not applicable - routine | 217 | ||||
| BH-A8U2 | ED follow-up queue | 45 | Riverbend Medicaid MCO | East / no urgent access slot needed | English | HN-A8U2 — SIGNED 2026-05-29 10:32 CT | Applied; overrides behavioral-health ED count. | Signed review reclassifies the two loaded encounters as urgent-care insomnia and non-behavioral ED; no behavioral-health ED visit remains and no decompensation documented. | High | Routine / waitlist | — | — | No crisis, same-day, or priority criterion is supported. | No protected-contact restriction stated. | 208 | Not applicable - routine | 224 | ||||
| BH-D5H0 | ED observation follow-up | 19 | County Access Safety Net | West / no urgent access slot needed | English | HN-D5H0 — SIGNED 2026-05-29 09:49 CT | Applied; confirms ED observation did not become psychiatric inpatient admission. | ED observation on 2026-05-21 did not convert to psychiatric inpatient admission; safety plan updated; no current intent or deterioration. | Moderate | Routine / waitlist | — | — | Observation does not count as psychiatric inpatient discharge; no other trigger is documented. | No protected-contact restriction stated. | 208 | Not applicable - routine | 233 |
Slot Decisions
| Slot eligibility and reservation decisions | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Only reviewed decision-path candidates are listed. Capacity is eligible only when status is Open and hold code is blank. | |||||||||||
| Client ID | Slot ID | Start (CT) | Site | Program | Modality | Minutes | Inventory status | Hold code | Decision | Eligibility result | Controlling reason |
| BH-P8A4 | S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Open | 116 | Eligible | Open/blank-hold; age 12–17, Riverbend, North, English, and youth-safety specialty match. Guardian verification may be pending for same-day safety. | |
| BH-M2N7 | S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Open | 116 | Eligible | Open/blank-hold; adult, self-pay, East, English, in-person psychosis-safety specialty match. | |
| BH-L0R6 | S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Open | 116 | Eligible | Open/blank-hold; Riverbend, Spanish, signed telehealth consent, adult age, and perinatal same-day presentation match. | |
| BH-C3T8 | S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Open | 116 | Eligible | Open/blank-hold; Riverbend, adult age, East, English, and same-day adult-safety specialty match. | |
| BH-C3T8 | S-ASR-HOLD-8MV | 46171.6666666667 | East | Adult Safety Review | In-person | 45 | QA release pending | MIGRATION-HOLD | Reject | Not eligible | QA-release-pending with hold code; policy permits only Open rows with blank hold code. |
| BH-X1D5 | P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Open | 116 | Eligible | Open/blank-hold; Riverbend, adult age, East, English, and post-discharge transition specialty match. | |
| BH-X1D5 | P-POST-HLD-6R2 | 46172.3472222222 | East | Post-Discharge Transition | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | Reject | Not eligible | Tentative row with hold code; may not be used despite earlier time. |
| BH-R6W8 | P-ADT-CEN-5QW | 46173.5416666667 | Central | Adult Therapy Intake | Telehealth | 60 | Open | 251 | Not eligible | CedarCare Medicaid carve-out prohibits Central adult therapy for this batch, superseding inventory payer text. | |
| BH-R6W8 | P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | 116 | Eligible | Open/blank-hold; East adult therapy remains CedarCare-eligible, and signed telehealth consent is present. | |
| BH-T9Y6 | P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake — perinatal competent | Telehealth | 60 | Open | 116 | Eligible | Open/blank-hold; BlueChoice, East, English, signed telehealth consent, pregnancy, and perinatal-competent adult specialty match. | |
| BH-S5Q2 | P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | Reject | Not eligible | Held for interpreter confirmation; held capacity cannot be released or used. |
| BH-S5Q2 | P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Open | 251 | Not eligible | English only and Commercial/Self-pay only; client requires Spanish and has Riverbend Medicaid. | |
| BH-S5Q2 | P-GRP-4MJ | 46174.5833333333 | West | Skills Group Orientation | In-person | 90 | Open | 251 | Not eligible | Nonclinical orientation cannot satisfy first clinical contact or reserved clinical minutes; also does not match Riverbend/Spanish SUD need. | |
| BH-E7V1 | P-YTH-H5L | 46176.6527777778 | North | Youth Therapy Intake | In-person | 60 | Open | 251 | Not eligible | Priority youth therapy requires verified guardian/caregiver authority; current record is unverified. | |
| BH-Z0B4 | P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | 251 | Not eligible | Northstar Select excludes all telehealth slots; ineligible regardless of inventory listing. | |
| BH-Z0B4 | P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Open | 116 | Eligible | Open/blank-hold; West in-person row explicitly includes Northstar Select and matches adult/English requirements. | |
| BH-Q2T0 | P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Open | 116 | Eligible | Open/blank-hold; Riverbend, English, telehealth consent, adult age, and perinatal-priority specialty match. |
Bridge & Contact
| Bridge-outreach and protected-contact carry-forward | ||||||
|---|---|---|---|---|---|---|
| Rows shown for clients with a bridge status or a protected-contact restriction. Bridge threshold: 2026-06-01 11:40 CT. | ||||||
| Client ID | Final pathway | Bridge status | Bridge basis | First clinical contact / current constraint | Protected contact? | Carry-forward outreach restriction |
| BH-J4K9 | Crisis transfer | Excluded - crisis | Crisis transfer is excluded from bridge count until post-crisis disposition is known. | No outpatient clinical appointment. | Yes | Contact client only; do not use ordinary collateral outreach. |
| BH-P8A4 | Same-day clinician review | Not applicable - same-day | Same-day review does not enter bridge count. | S-YSF-A7Q, 2026-05-29 13:05 CT. | Yes | Guardian authority unverified; school counselor may receive scheduling status only. |
| BH-L0R6 | Same-day clinician review | Not applicable - same-day | Same-day review does not enter bridge count. | S-PERI-2B, 2026-05-29 14:20 CT. | Yes | Do not contact partner; contact client directly or OB social work only. |
| BH-S5Q2 | Priority access | Required | Stable moderate-withdrawal/SUD priority client; bridge required regardless of appointment timing and no eligible clinical slot can be reserved. | Unresolved: no eligible Spanish/Riverbend SUD clinical slot. | No | Spanish clinical language requirement; no protected-contact restriction stated. |
| BH-E7V1 | Priority access | Required | No eligible clinical appointment can be reserved because guardian/caregiver authority is unverified. | Unresolved: P-YTH-H5L cannot be reserved. | Yes | No voicemail or details with stepfather; guardian authority unverified; school counselor scheduling status only. |
| BH-Z0B4 | Priority access | Required | First reserved clinical contact is after 2026-06-01 11:40 CT bridge threshold. | P-ADT-V4R, 2026-06-02 08:45 CT. | No | No protected-contact restriction stated. |
| BH-Q2T0 | Priority access | Required | First reserved clinical contact is after 2026-06-01 11:40 CT bridge threshold. | P-PER-F8Q, 2026-06-02 10:30 CT. | No | No protected-contact restriction stated. |
User prompt → 35 turns · 25 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 against the controlling access rules, then deliver exactly the requested memo and operations wo…
I’ll reconcile the batch against the controlling access rules, then deliver exactly the requested memo and operations workbook. I’m using the Word and spreadsheet document workflows because both final deliverables need to be validated as native files.
7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"sed -n '1,240p' /root/.agents/skills/docx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}), tools.exec_command({"cmd":"sed -n '1,260p' /root/.agents/skills/xlsx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}), tools.exec_command({"cmd":"rg --files /workspace | sed -n '1,240p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}) ]); text(r.map(x=>x.output).join("\n\n---FILE LIST---\n"));Output
Script completed Wall time 1.0 seconds Output: --- name: docx description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks for a 'report', 'memo', 'letter', 'template', or similar deliverable as a Word or .docx file, use this skill. Do NOT use for PDFs, spreadsheets, Google Docs, or general coding tasks unrelated to document generation." license: Proprietary. LICENSE.txt has complete t
… 18,558 more characters of output in the raw trajectory.
8The reference set includes a rules PDF, a signed handoff packet, and two workbooks. I’m also applying the PDF workflow t…
The reference set includes a rules PDF, a signed handoff packet, and two workbooks. I’m also applying the PDF workflow to extract and verify the controlling routing rules before making any placement decision.
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"sed -n '241,520p' /root/.agents/skills/docx/SKILL.md; sed -n '261,620p' /root/.agents/skills/xlsx/SKILL.md; sed -n '1,360p' /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}), tools.exec_command({"cmd":"wc -l /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":2000}) ]); text(r.map(x=>x.output).join("\n\n---\n"));Output
Script completed Wall time 0.1 seconds Output: new Paragraph({ children: [new PageBreak()] }) // Or use pageBreakBefore new Paragraph({ pageBreakBefore: true, children: [new TextRun("New page")] }) ``` ### Hyperlinks ```javascript // External link new Paragraph({ children: [new ExternalHyperlink({ children: [new TextRun({ text: "Click here", style: "Hyperlink" })], link: "https://example.com", })] }) // Internal link (bookmark + reference) // 1. Create bookmark at destination new Paragraph({ heading: HeadingLevel.HEADING_1, children: [ new Bookmark({ id: "chapter1", children: [new TextRun("Chapter 1")] }), ]}) // 2. Link to it new Paragraph({ children: [new InternalHyperlink({ children: [new TextRun({ text: "See Chapter 1", style: "Hyperlink" })], anchor: "chapter1", })]}) ``` ### Footnotes ```javascript const doc = new Document({ footnotes: { 1: { chi… 18,758 more characters of output in the raw trajectory.
10Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"mkdir -p /tmp/recon_input && pdftotext -layout /workspace/data/access_services_rules_cutover_queue.pdf /tmp/recon_input/rules.txt && wc -l /tmp/recon_input/rules.txt && sed -n '1,260p' /tmp/recon_input/rules.txt","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}), tools.exec_command({"cmd":"pandoc --track-changes=all /workspace/data/signed_clinical_handoff_packet.docx -t plain -o /tmp/recon_input/handoffs.txt && wc -l /tmp/recon_input/handoffs.txt && sed -n '1,360p' /tmp/recon_input/ha… 761 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.8 seconds Output: 113 /tmp/recon_input/rules.txt 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… 22,813 more characters of output in the raw trajectory.
11Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"rg --files /root/.agents/skills /tmp/codex-home/skills 2>/dev/null | rg '/(unpack|validate|soffice)\\.py$|docx2txt|SKILL\\.md$' | sed -n '1,160p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":12000}), tools.exec_command({"cmd":"unzip -l /workspace/data/signed_clinical_handoff_packet.docx | sed -n '1,200p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":12000}), tools.exec_command({"cmd":"which libreoffice || true; which soffice || true; which docx2txt… 294 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.3 seconds Output: /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/scripts/office/soffice.py /root/.agents/skills/pdf/SKILL.md /root/.agents/skills/xlsx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/office/unpack.py /root/.agents/skills/docx/scripts/office/soffice.py /root/.agents/skills/docx/scripts/office/unpack.py /root/.agents/skills/docx/scripts/office/validate.py ==================== /bin/bash: line 1: unzip: command not found ==================== /usr/bin/libreoffice /usr/bin/soffice python-docx available
12Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"python - <<'PY'\nfrom docx import Document\np='/workspace/data/signed_clinical_handoff_packet.docx'\nd=Document(p)\nprint('CORE', d.core_properties)\nprint('PARAGRAPHS',len(d.paragraphs),'TABLES',len(d.tables),'SECTIONS',len(d.sections))\nfor i,p in enumerate(d.paragraphs):\n if p.text.strip(): print(f'P{i}: {p.text!r}')\nfor ti,t in enumerate(d.tables):\n print(f'\\nTABLE {ti} rows={len(t.rows)} cols={len(t.columns)}')\n for ri,r in enumerate(t.rows): print(ri, [c.text for c in r.cells])\nfor si,s i… 955 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.2 seconds Output: CORE <docx.opc.coreprops.CoreProperties object at 0x7f3dfc876b10> PARAGRAPHS 5 TABLES 2 SECTIONS 1 P0: 'Access Services Care-Coordination Notes Packet' P1: 'Cutover queue review window: 2026-05-29 09:30-11:40 CT | Service line: urgent access desk' P2: 'Finalized notes below may update the cutover referral export when the client identifier matches. Draft or unsigned notes are attachment carryover only and are not finalized clinical handoffs for routing.' P4: 'End of packet.' TABLE 0 rows=13 cols=2 0 ['Note metadata', 'Care-coordination note'] 1 ['Note ID: HN-J4K9\nClient ID: BH-J4K9\nStatus: SIGNED 2026-05-29 11:18 CT\nOrigin: LCSW ED callback', 'Client stated intent to act tonight and described medication stockpile at home as accessible means. Urgent-care record from 2026-05-27 shows medically attended self-harm laceration. Mobile crisis war
… 36,934 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":"sed -n '521,660p' /root/.agents/skills/docx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":16000});text(r.output);Output
Script completed Wall time 0.1 seconds Output: ```xml <w:del w:author="Jane" w:id="5"> <w:r><w:delText>deleted text</w:delText></w:r> </w:del> <w:ins w:author="Claude" w:id="10"> <w:r><w:t>deleted text</w:t></w:r> </w:ins> ``` ### Comments After running `comment.py` (see Step 2), add markers to document.xml. For replies, use `--parent` flag and nest markers inside the parent's. **CRITICAL: `<w:commentRangeStart>` and `<w:commentRangeEnd>` are siblings of `<w:r>`, never inside `<w:r>`.** ```xml <!-- Comment markers are direct children of w:p, never inside w:r --> <w:commentRangeStart w:id="0"/> <w:del w:id="1" w:author="Claude" w:date="2025-01-01T00:00:00Z"> <w:r><w:delText>deleted</w:delText></w:r> </w:del> <w:r><w:t> more text</w:t></w:r> <w:commentRangeEnd w:id="0"/> <w:r><w:rPr><w:rStyle w:val="CommentReference"/></w:rPr><w:commentReference w:id="0"/></w:r> <!-- Comment 0 wit
… 1,330 more characters of output in the raw trajectory.
14Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"node --version && npm --version && node - <<'NODE'\ntry { const d=require('docx'); console.log('docx available', d && d.Document ? 'yes' : 'no'); } catch (e) { console.log('docx unavailable:', e.message); }\nNODE","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":12000}), tools.exec_command({"cmd":"python - <<'PY'\nimport openpyxl, docx\nprint('openpyxl',openpyxl.__version__)\nprint('python-docx',docx.__version__)\nPY\nls -ld /workspace/output 2>/dev/null || true\nfind /workspace/outp… 429 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.7 seconds Output: v22.23.2 10.9.8 docx unavailable: Cannot find module 'docx' Require stack: - /workspace/[stdin] ==================== openpyxl 3.1.5 python-docx 1.2.0 ==================== /root/.agents/skills/docx/scripts/office/helpers/merge_runs.py /root/.agents/skills/docx/scripts/office/helpers/__init__.py /root/.agents/skills/docx/scripts/office/helpers/simplify_redlines.py /root/.agents/skills/docx/scripts/office/unpack.py /root/.agents/skills/docx/scripts/office/pack.py /root/.agents/skills/docx/scripts/office/validate.py /root/.agents/skills/docx/scripts/office/validators/docx.py /root/.agents/skills/docx/scripts/office/validators/base.py /root/.agents/skills/docx/scripts/office/validators/pptx.py /root/.agents/skills/docx/scripts/office/validators/redlining.py /root/.agents/skills/docx/scripts/office/validators/__init__.py /root/.agents/skills/docx/
… 485 more characters of output in the raw trajectory.
15I’ve completed the reconciliation logic: there are 5 escalation cases, 7 priority cases (5 placeable and 2 currently unr…
I’ve completed the reconciliation logic: there are 5 escalation cases, 7 priority cases (5 placeable and 2 currently unresolved), and 4 bridge-outreach flags. I’m now building the two native deliverables with the reservation and outreach constraints carried through client by client.
16Shell1
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
17Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"rg --files /root/.agents/skills/xlsx | rg 'recalc\\.py$|validate\\.py$'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":8000});text(r.output);Output
Script completed Wall time 0.1 seconds Output: /root/.agents/skills/xlsx/scripts/recalc.py /root/.agents/skills/xlsx/scripts/office/validate.py
18exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /tmp/build_reconciliation_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.comments import Comment\n+from openpyxl.formatting.rule import CellIsRule\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+BLUE = '1F4E78'\n+TEAL
Arguments
const patch = "*** Begin Patch\n*** Add File: /tmp/build_reconciliation_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.comments import Comment\n+from openpyxl.formatting.rule import CellIsRule\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+BLUE = '1F4E78'\n+TEAL… 36,776 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}19Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /tmp/build_reconciliation_workbook.py","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000});text(r.output);Output
Script completed Wall time 0.8 seconds Output: /workspace/output/routing_reconciliation_workbook.xlsx
20Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"NODE_PATH=\"$(npm root -g)\" node - <<'NODE'\nconst {Document,Packer}=require('docx'); console.log(Boolean(Document), Boolean(Packer));\nNODE","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":8000});text(r.output);Output
Script completed Wall time 0.2 seconds Output: true true
21exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /tmp/build_reconciliation_memo.js\n+const fs = require('fs');\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ HeadingLevel,\n+ PageNumber,\n+ PageOrientation,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+} = require('docx');\n+\n+const OUT = '/workspace/output/access_reconciliation_memo.docx';\n+const CONTENT_WIDTH = 14400;\n+const border = { style: BorderStyle.SINGLE, size: 1, color:
Arguments
const patch = "*** Begin Patch\n*** Add File: /tmp/build_reconciliation_memo.js\n+const fs = require('fs');\n+const {\n+ AlignmentType,\n+ BorderStyle,\n+ Document,\n+ Footer,\n+ Header,\n+ HeadingLevel,\n+ PageNumber,\n+ PageOrientation,\n+ Packer,\n+ Paragraph,\n+ ShadingType,\n+ Table,\n+ TableCell,\n+ TableRow,\n+ TextRun,\n+ VerticalAlign,\n+ WidthType,\n+} = require('docx');\n+\n+const OUT = '/workspace/output/access_reconciliation_memo.docx';\n+const CONTENT_WIDTH = 14400;\n+const border = { style: BorderStyle.SINGLE, size: 1, color:… 16,920 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}22Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"NODE_PATH=\"$(npm root -g)\" node /tmp/build_reconciliation_memo.js","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000});text(r.output);Output
Script completed Wall time 0.4 seconds Output: /workspace/output/access_reconciliation_memo.docx
23Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = 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":30000}), 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":30000}), tools.exec_command({"cmd":"find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort","wo… 149 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.3 seconds Output: { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 11 } ==================== Paragraphs: 0 → 231 (+231) All validations PASSED! ==================== access_reconciliation_memo.docx routing_reconciliation_workbook.xlsx24Both deliverables are now created and the first validation pass is clean: the workbook has 11 formulas with zero calcula…
Both deliverables are now created and the first validation pass is clean: the workbook has 11 formulas with zero calculation errors, and the memo’s DOCX structure validates. I’m doing a final content and render check now, including the exact reservation order and counts.
25Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='/workspace/output/routing_reconciliation_workbook.xlsx'\nfor data_only in (False, True):\n wb=load_workbook(p, data_only=data_only)\n print('data_only', data_only, wb.sheetnames)\n ws=wb['Summary']\n for r in range(5,16): print(r, ws.cell(r,1).value, ws.cell(r,2).value)\n rt=wb['Client Routing']\n print('client rows', rt.max_row-4)\n for r in range(5,21): print(rt.cell(r,1).value, rt.cell(r,11).value, rt.cell(r,16).value, rt.cell(r,17).… 1,505 more characters of arguments in the raw trajectory.
Output
Script failed Wall time 0.0 seconds Output: Script error: exec_command failed for `/bin/bash -lc "rm -rf /tmp/recon_render && mkdir -p /tmp/recon_render && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/recon_render /workspace/output/access_reconciliation_memo.docx && pdfinfo /tmp/recon_render/access_reconciliation_memo.pdf | sed -n '1,30p' && pdftoppm -png -r 120 /tmp/recon_render/access_reconciliation_memo.pdf /tmp/recon_render/memo >/dev/null 2>&1 && ls -1 /tmp/recon_render | sed -n '1,80p'"`: CreateProcess { message: "Rejected(\"`/bin/bash -lc \\\"rm -rf /tmp/recon_render && mkdir -p /tmp/recon_render && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/recon_render /workspace/output/access_reconciliation_memo.docx && pdfinfo /tmp/recon_render/access_reconciliation_memo.pdf | sed -n '1,30p' && pdf… 240 more characters of output in the raw trajectory.
26Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='/workspace/output/routing_reconciliation_workbook.xlsx'\nfor data_only in (False, True):\n wb=load_workbook(p, data_only=data_only)\n print('data_only', data_only, wb.sheetnames)\n ws=wb['Summary']\n for r in range(5,16): print(r, ws.cell(r,1).value, ws.cell(r,2).value)\n rt=wb['Client Routing']\n print('client rows', rt.max_row-4)\n for r in range(5,21): print(rt.cell(r,1).value, rt.cell(r,11).value, rt.cell(r,16).value, rt.cell(r,17).… 1,118 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: data_only False ['Summary', 'Client Routing', 'Slot Decisions', 'Bridge & Contact'] 5 Total referrals reconciled =COUNTA('Client Routing'!A5:A20) 6 Crisis transfers =COUNTIF('Client Routing'!K5:K20,"Crisis transfer") 7 Same-day clinician reviews =COUNTIF('Client Routing'!K5:K20,"Same-day clinician review") 8 Priority-access clients =COUNTIF('Client Routing'!K5:K20,"Priority access") 9 Priority clients with slot decision: Reserve =COUNTIFS('Client Routing'!K5:K20,"Priority access",'Client Routing'!S5:S20,"Reserve") 10 Priority clients unresolved =COUNTIFS('Client Routing'!K5:K20,"Priority access",'Client Routing'!S5:S20,"Do not reserve - unresolved") 11 Routine / waitlist =COUNTIF('Client Routing'!K5:K20,"Routine / waitlist") 12 Bridge-outreach flags =COUNTIF('Client Routing'!T5:T20,"Required") 13 Restricted-contact records =COUNTIF(… 9,220 more characters of output in the raw trajectory.
27Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"recon_render_dir=\"$(mktemp -d)\"\ncp /workspace/output/access_reconciliation_memo.docx \"$recon_render_dir/access_reconciliation_memo.docx\"\ncd \"$recon_render_dir\"\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf access_reconciliation_memo.docx\npdfinfo access_reconciliation_memo.pdf | sed -n '1,30p'\npdftoppm -png -r 120 access_reconciliation_memo.pdf memo\npwd\nfind . -maxdepth 1 -type f -printf '%f\\n' | sort","workdir":"/workspace","yield_time_ms":30000,"max_outpu… 36 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.7 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /tmp/tmp.JblHpDSN59/access_reconciliation_memo.docx as a Writer document -> /tmp/tmp.JblHpDSN59/access_reconciliation_memo.pdf using filter : writer_pdf_Export Author: Un-named Creator: Writer Producer: LibreOffice 25.2.3.2 (X86_64) / LibreOffice Community CreationDate: Thu Aug 20 01:29:38 2026 UTC Custom Metadata: no Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 4 Encrypted: no Page size: 792 x 612 pts (letter) Page rot: 0 File size: 141249 bytes Optimized: no PDF version: 1.7 /tmp/tmp.JblHpDSN59 access_reconciliation_memo.docx access_reconciliation_memo.pdf memo-1.png memo-2.png memo-3.png memo-4.png
28exec1
Tool execution only — no assistant text
execconst pages = await Promise.all([ tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-1.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-2.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-3.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-4.png",detail:"high"}) ]); for (const p of pages) image(p.image_url, "high");
Arguments
const pages = await Promise.all([ tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-1.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-2.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-3.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.JblHpDSN59/memo-4.png",detail:"high"}) ]); for (const p of pages) image(p.image_url, "high");Output
Script completed Wall time 0.1 seconds Output:
… 1,130,778 more characters of output in the raw trajectory.
29exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Update File: /tmp/build_reconciliation_memo.js\n@@\n- heading('High-acuity reservation register — chronological', { pageBreakBefore: true }),\n+ heading('High-acuity reservation register — chronological'),\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/build_reconciliation_memo.js\n@@\n- heading('High-acuity reservation register — chronological', { pageBreakBefore: true }),\n+ heading('High-acuity reservation register — chronological'),\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: {}30Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"NODE_PATH=\"$(npm root -g)\" node /tmp/build_reconciliation_memo.js && python /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000}), tools.exec_command({"cmd":"find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":8000}) ]); text(r.map(x=>x.output).join("\n\n====================\n"));Output
Script completed Wall time 1.5 seconds Output: /workspace/output/access_reconciliation_memo.docx Paragraphs: 0 → 231 (+231) All validations PASSED! ==================== access_reconciliation_memo.docx routing_reconciliation_workbook.xlsx
31Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"recon_render_dir=\"$(mktemp -d)\"\ncp /workspace/output/access_reconciliation_memo.docx \"$recon_render_dir/access_reconciliation_memo.docx\"\ncd \"$recon_render_dir\"\npython /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf access_reconciliation_memo.docx\npdfinfo access_reconciliation_memo.pdf | rg '^Pages:'\npdftoppm -png -r 120 access_reconciliation_memo.pdf memo\npwd","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":12000});text(r.output);Output
Script completed Wall time 1.7 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /tmp/tmp.3IKT8BrkJp/access_reconciliation_memo.docx as a Writer document -> /tmp/tmp.3IKT8BrkJp/access_reconciliation_memo.pdf using filter : writer_pdf_Export Pages: 3 /tmp/tmp.3IKT8BrkJp
32exec1
Tool execution only — no assistant text
execconst p = await tools.view_image({path:"/tmp/tmp.3IKT8BrkJp/memo-3.png",detail:"high"});image(p.image_url, "high");
Arguments
const p = await tools.view_image({path:"/tmp/tmp.3IKT8BrkJp/memo-3.png",detail:"high"});image(p.image_url, "high");Output
Script completed Wall time 0.0 seconds Output:
… 333,336 more characters of output in the raw trajectory.
33Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"recon_xlsx_render_dir=\"$(mktemp -d)\"\ncp /workspace/output/routing_reconciliation_workbook.xlsx \"$recon_xlsx_render_dir/routing_reconciliation_workbook.xlsx\"\ncd \"$recon_xlsx_render_dir\"\npython - <<'PY'\nfrom pathlib import Path\nfrom importlib.machinery import SourceFileLoader\nmod = SourceFileLoader('soffice_helper','/root/.agents/skills/xlsx/scripts/office/soffice.py').load_module()\nresult = mod.run_soffice(['--headless','--convert-to','pdf','routing_reconciliation_workbook.xlsx'], capture_output=True, text=T… 368 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.2 seconds Output: convert /tmp/tmp.VNjOSErmMq/routing_reconciliation_workbook.xlsx as a Calc document -> /tmp/tmp.VNjOSErmMq/routing_reconciliation_workbook.pdf using filter : calc_pdf_Export Warning: failed to launch javaldx - java may not function correctly 0 Pages: 4 /tmp/tmp.VNjOSErmMq book-1.png book-2.png book-3.png book-4.png routing_reconciliation_workbook.pdf routing_reconciliation_workbook.xlsx
34exec1
Tool execution only — no assistant text
execconst pages = await Promise.all([ tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-1.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-2.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-3.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-4.png",detail:"high"}) ]); for (const p of pages) image(p.image_url, "high");
Arguments
const pages = await Promise.all([ tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-1.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-2.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-3.png",detail:"high"}), tools.view_image({path:"/tmp/tmp.VNjOSErmMq/book-4.png",detail:"high"}) ]); for (const p of pages) image(p.image_url, "high");Output
Script completed Wall time 0.0 seconds Output:
… 497,866 more characters of output in the raw trajectory.
35Completed and validated: 5 escalation cases, 5 priority reservation decisions, 2 unresolved priority cases, 4 bridge-out…
Completed and validated: 5 escalation cases, 5 priority reservation decisions, 2 unresolved priority cases, 4 bridge-outreach flags, and 480 reserved clinical minutes.
- Access reconciliation memo
- Routing reconciliation workbook
/workspace/output/contains only these two requested files.