task_53Health care and social assistance
All trialsGPT-5.6 TerracodexTrial 04
Trial reward
GPT-5.6 TerraFail
Trial 04 — 3rd of 4 by reward score. This model averages 89.1% across 4 trials on this task.
- 12/13Core verifiers passed
- 15/17All verifiers passed
- 1Core failed
- 49Turns
- 40Tool calls
- $1.19Cost
- 16.6mTime
- 46kOutput tokens
Missed 1 of 13 core — routine_waitlist_edge_cases, plus 1 secondary.
core (13)
memo_escalationLLMPass
Why it mattersThe escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.
How to passChecks whether the memo presents the correct ranked escalation queue and crisis handling.
Reads
memo_count_consistencyLLMPass
Why it mattersIncorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.
How to passChecks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.
Reads
unresolved_priorityLLMPass
Why it mattersUnresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.
How to passChecks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.
Reads
bridge_outreachLLMPass
Why it mattersBridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.
How to passChecks whether the memo applies the bridge-outreach rule to the correct clients.
Reads
slot_eligibilityLLMPass
Why it mattersSlot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.
How to passChecks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.
Reads
workbook_completenessLLMPass
Why it mattersThe operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.
How to passChecks whether the workbook provides complete client-level coverage for the full batch.
Reads
workbook_routing_accuracyLLMPass
Why it mattersClient-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.
How to passChecks whether the workbook records the correct routing pathway for every client.
Reads
workbook_slot_listLLMPass
Why it mattersOperations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.
How to passChecks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.
Reads
workbook_slot_pairsLLMPass
Why it mattersCorrect client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.
How to passChecks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.
Reads
workbook_outreachLLMPass
Why it mattersOperations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.
How to passChecks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.
Reads
workbook_protected_contactLLMPass
Why it mattersThe workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.
How to passChecks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.
Reads
routine_waitlist_edge_casesLLMFail
Why it mattersThese edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.
How to passChecks whether the workbook correctly resolves the four routine/waitlist edge cases.
Reads
Failure mode Required Rationale or Authority Statement Omitted
Why it failedAll four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
Justification
BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0 are all routed to "Routine / waitlist" with no urgent-access reservation, and the workbook gives the expected bases for BH-V9F3, BH-N4A1, and BH-D5H0. However, BH-A8U2 is only described as reclassified to "urgent care and non-behavioral ED" with no behavioral-health ED visit; it does not include the rubric’s required urgent-care insomnia detail, so the stated exclusion basis is incomplete.
memo_protected_contactLLMPass
Why it mattersThe memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.
How to passChecks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.
Reads
secondary (4)
source_hierarchyLLMPass
Why it mattersThe source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.
How to passChecks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.
Reads
scope_controlLLMPass
Why it mattersThe deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.
How to passChecks whether the memo stays within access-routing scope rather than giving clinical treatment advice.
Reads
workbook_exclusionsLLMPass
Why it mattersA strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.
How to passChecks whether the workbook documents why tempting capacity was not usable for unresolved clients.
Reads
side_effectsLLMFail
Why it mattersThe task asks for two reconciliation outputs only, so extra artifacts, policy changes, or capacity releases create unsafe ambiguity and violate the revised deliverable requirement.
How to passChecks whether the memo avoids materially unsolicited operational side effects and extra artifact instructions.
Reads
Failure mode Off-Scope Advice Added
Why it failedThe memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.
Justification
The memo is not confined to the specified reconciliation outputs because it adds a separate "Routine / waitlist reconciliation" section with dispositions for BH-V9F3, BH-N4A1, BH-A8U2, and BH-D5H0. Although it avoids held/QA-pending capacity and preserves contact restrictions, that extra unrequested reconciliation content makes it fail the rubric.
2 deliverables · what this trial produced
Urgent-Access Cutover Queue Reconciliation Memo
To: Urgent-Access Lead | For: Friday early-afternoon scheduling huddle | Review point: 2026-05-29 11:40 CT
Disposition statement: The desk reference controlled routing, bridge thresholds, capacity eligibility, carve-outs, and contact restrictions. Client-matched signed handoffs finalized during 09:30–11:40 CT were applied over conflicting export facts. HN-T9Y6-DRAFT was ignored because it is unsigned.
Decision snapshot
Decision area
Count
Operational reading
Escalation queue
5
1 crisis transfer and 4 same-day clinician reviews in policy order.
Priority access
7
5 priority clients have an eligible appointment; 2 remain unresolved because no eligible clinical slot can be reserved.
Bridge outreach
4
BH-S5Q2, BH-E7V1, BH-Q2T0, and BH-Z0B4 require bridge outreach under the threshold or SUD rule.
Protected-contact flags
4
BH-J4K9, BH-P8A4, BH-L0R6, and BH-E7V1 carry contact controls into outreach or handoffs.
Reserved high-acuity capacity
9 slots / 480 min
Four same-day and five priority clinical appointments; no held, tentative, blocked, QA-release-pending, or nonclinical capacity used.
Escalation queue — policy order
Priority-only clients are not included in this queue. Crisis transfer ranks first; same-day cases then follow Trigger A, B, C, and D.
Policy rank / client
Required action and reservation
Contact or eligibility caveat
1 — BH-J4K9
Crisis transfer
Current intent plus accessible medication stockpile; medically attended self-harm on 2026-05-27. Mobile-crisis warm transfer was accepted. Do not place into outpatient access.
Client only. Preserve the client-only limitation through the crisis handoff. Excluded from bridge count until post-crisis disposition is known.
2 — BH-C3T8
Same-day Trigger A
Current death/self-harm thoughts with medication means considered within 30 days and no documented safety plan. Reserve S-ASR-3P1, East Adult Safety Review, 2026-05-29 15:10 CT, in person, 45 minutes.
No additional protected-contact restriction supplied.
3 — BH-P8A4
Same-day Trigger B
Youth self-injury 6 days ago with current death/self-harm thoughts. Reserve S-YSF-A7Q, North Youth Safety Review, 2026-05-29 13:05 CT, in person, 45 minutes.
Safety review may proceed while guardian verification is pending. School counselor may receive scheduling status only; verify authority before therapy intake.
4 — BH-M2N7
Same-day Trigger C
Active command content to harm self, without intent or accessible means. Reserve S-PSY-9D2, East Psychosis Safety Review, 2026-05-29 13:30 CT, in person, 45 minutes.
No additional protected-contact restriction supplied.
5 — BH-L0R6
Same-day Trigger D
Eight weeks postpartum with intrusive infant-harm thoughts, 2.5 hours sleep/night, and no confirmed reliable support. Reserve S-PERI-2B, Central Perinatal Rapid Review, 2026-05-29 14:20 CT, telehealth, 45 minutes.
Spanish clinical contact required. Do not contact partner; contact client directly or OB social work only.
Reserved clinical appointments and capacity
The nine reservations below use only Open inventory rows with blank hold codes. They comprise 480 reserved clinical minutes. Group orientation, holds, tentative capacity, QA-release-pending capacity, and the crisis-transfer client are excluded.
Start / client
Slot
Route
Program / modality
Min.
Bridge
May 29, 1:05 PM CT — BH-P8A4
S-YSF-A7Q
Same-day
Youth Safety Review | In person
45
No
May 29, 1:30 PM CT — BH-M2N7
S-PSY-9D2
Same-day
Psychosis Safety Review | In person
45
No
May 29, 2:20 PM CT — BH-L0R6
S-PERI-2B
Same-day
Perinatal Rapid Review | Telehealth
45
No
May 29, 3:10 PM CT — BH-C3T8
S-ASR-3P1
Same-day
Adult Safety Review | In person
45
No
May 31, 10:40 AM CT — BH-X1D5
P-PDT-6N4
Priority
Post-Discharge Transition | In person
60
No
Jun 1, 9:20 AM CT — BH-R6W8
P-ADT-K3M
Priority
East Adult Therapy Intake | Telehealth
60
No
Jun 1, 10:15 AM CT — BH-T9Y6
P-ADT-TRI
Priority
Perinatal-competent Adult Therapy | Telehealth
60
No
Jun 2, 8:45 AM CT — BH-Z0B4
P-ADT-V4R
Priority
West Adult Therapy Intake | In person
60
Yes — after threshold
Jun 2, 10:30 AM CT — BH-Q2T0
P-PER-F8Q
Priority
Perinatal Follow-Up | Telehealth
60
Yes — after threshold
Priority reservations before the bridge threshold: BH-X1D5, BH-R6W8, and BH-T9Y6. BH-Q2T0 and BH-Z0B4 remain reserved—not unresolved—because a clinically eligible appointment exists; their bridge need is driven solely by timing.
Unresolved priority cases and bridge outreach
Client
Disposition / bridge reason
Remaining constraint or outreach caveat
BH-S5Q2
Unresolved priority
Stable moderate alcohol-withdrawal presentation is priority access. Bridge outreach is required regardless of appointment timing; no eligible clinical appointment can be reserved.
Spanish clinical care required. P-SUD-7CX is held for interpreter confirmation; P-SUD-1FZ is English-only and excludes Riverbend. Do not reserve either.
BH-E7V1
Unresolved priority
Youth self-injury about 21 days ago with no current self-harm thoughts is priority access. Bridge outreach is required because no eligible clinical appointment can be reserved.
Guardian/caregiver authority is unverified, so priority youth therapy cannot be reserved. No voicemail or details to stepfather; school counselor may receive scheduling status only.
BH-Q2T0
Priority reserved
P-PER-F8Q is clinically eligible but first contact is Jun 2, 10:30 AM CT, after the Jun 1, 11:40 AM CT bridge threshold.
Bridge outreach needed before the perinatal follow-up. No protected-contact restriction supplied.
BH-Z0B4
Priority reserved
P-ADT-V4R is clinically eligible but first contact is Jun 2, 8:45 AM CT, after the Jun 1, 11:40 AM CT bridge threshold.
Bridge outreach needed before the West in-person appointment. Northstar Select excludes telehealth; do not substitute a telehealth slot.
Protected-contact caveats
These controls must be carried forward with all outreach, scheduling, bridge, and handoff activity. Spanish clinical-language requirements are capacity requirements; they do not by themselves create a protected-contact flag.
Client
Restriction to carry forward
Operational effect
BH-J4K9
Client only.
Use no ordinary family, partner, or collateral outreach during crisis handoff; no outpatient scheduling before post-crisis disposition.
BH-P8A4
Guardian verification is pending; school counselor receives scheduling status only.
Same-day youth safety can proceed. Do not treat the counselor or an unverified caregiver as authority for routine or priority therapy intake.
BH-L0R6
Do not contact partner. Reach client directly or OB social work only.
Retain this route restriction in the perinatal same-day handoff; use Spanish-capable clinical contact.
BH-E7V1
No voicemail or details to stepfather; school counselor receives scheduling status only; caregiver authority unverified.
Do not reserve youth therapy or conduct ordinary caregiver outreach until authority is confirmed. Retain caveat in bridge activity.
Routine / waitlist reconciliation
No urgent-access slot or bridge outreach is assigned to BH-V9F3 (active outside therapist seen within 72 hours), BH-N4A1 (signed clarification: no hallucinations or command content), BH-A8U2 (signed reclassification: no behavioral-health ED visit), or BH-D5H0 (ED observation did not become psychiatric inpatient discharge; County Access Safety Net also cannot use routine or priority therapy inventory).
Operational close: Keep BH-S5Q2 and BH-E7V1 on the unresolved-priority list. Initiate bridge outreach for BH-S5Q2, BH-E7V1, BH-Q2T0, and BH-Z0B4 while preserving the listed language, payer, authority, and protected-contact controls.
Queue Summary
| Meadowbrook Behavioral Health Access Services — Cutover Queue Reconciliation | |||||
|---|---|---|---|---|---|
| Batch review 2026-05-29 11:40 CT | Bridge threshold 2026-06-01 11:40 CT | Controlling sources: desk reference, eligible signed handoffs, and slot inventory. | |||||
| Queue snapshot | |||||
| Measure | Calculated value | Operational interpretation | |||
| Total referrals reconciled | 16 | All referrals in the supplied export were routed; raw triage bands were not used as final dispositions. | |||
| Crisis transfers | 1 | No outpatient slot; excluded from bridge count until post-crisis disposition. | |||
| Same-day clinician reviews | 4 | Ranked after crisis by Trigger A, B, C, then D; all four have an eligible same-day safety slot. | |||
| Priority-access clients | 7 | Includes clients with an eligible appointment and unresolved priority clients. | |||
| Priority clients with reservation | 5 | Five priority clients have an eligible clinical appointment reserved. | |||
| Unresolved priority clients | 2 | No eligible clinical appointment can be reserved from current inventory. | |||
| Bridge-outreach needs | 4 | Includes no-slot priorities and scheduled priorities whose first clinical contact is after threshold; stable moderate-withdrawal/SUD is counted regardless of timing. | |||
| Protected-contact flags | 4 | Carry listed restrictions into all outreach or handoff activity. | |||
| High-acuity clinical reservations | 9 | All are Open slots with blank hold codes; includes same-day and priority clinical appointments only. | |||
| Reserved clinical minutes | 480 | Sum of reserved high-acuity clinical appointment durations; nonclinical orientation and unusable held capacity excluded. | |||
| Reserved high-acuity clinical appointments — chronological | |||||
| Start (CT) | Client | Slot ID | Program / modality | Minutes | Bridge status |
| 46171.5451388889 | BH-P8A4 | S-YSF-A7Q | Youth Safety Review / Clinical same-day safety | In-person | 45 | No |
| 46171.5625 | BH-M2N7 | S-PSY-9D2 | Psychosis Safety Review / Clinical same-day safety | In-person | 45 | No |
| 46171.5972222222 | BH-L0R6 | S-PERI-2B | Perinatal Rapid Review / Clinical same-day safety | Telehealth | 45 | No |
| 46171.6319444445 | BH-C3T8 | S-ASR-3P1 | Adult Safety Review / Clinical same-day safety | In-person | 45 | No |
| 46173.4444444445 | BH-X1D5 | P-PDT-6N4 | Post-Discharge Transition / Clinical intake | In-person | 60 | No |
| 46174.3888888889 | BH-R6W8 | P-ADT-K3M | Adult Therapy Intake / Clinical intake | Telehealth | 60 | No |
| 46174.4270833333 | BH-T9Y6 | P-ADT-TRI | Adult Therapy Intake, perinatal-competent / Clinical intake | Telehealth | 60 | No |
| 46175.3645833333 | BH-Z0B4 | P-ADT-V4R | Adult Therapy Intake / Clinical intake | In-person | 60 | Yes |
| 46175.4375 | BH-Q2T0 | P-PER-F8Q | Perinatal Follow-Up / Clinical intake | Telehealth | 60 | Yes |
| Control note: HN-T9Y6-DRAFT was ignored because it is draft/unsigned. All other client-matched signed notes were finalized within the 2026-05-29 09:30–11:40 CT review window and were applied where relevant. Held, tentative, blocked, and QA-release-pending inventory rows are not reservations. | |||||
Client Routing
| Client-Level Routing Decisions | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Authority rule applied: use desk reference for routing/capacity/contact controls; use a client-matched signed handoff in the review window over conflicting export facts. Raw triage is a queue label, not a disposition. | |||||||||||||||||||||
| Client ID | Referral Source | Signed Handoff Note | Handoff / Export Precedence | Final Pathway | Highest-Action Basis | Escalation Rank | Appointment Decision | Reserved Slot ID | Appointment Start (CT) | Site | Program / Clinical Contact | Modality | Reserved Clinical Minutes | First Clinical Contact / Timing | Bridge Outreach | Bridge Rationale | Unresolved Priority | Unresolved Constraint | Protected-Contact Flag | Contact / Outreach Caveat | Decision Evidence |
| BH-J4K9 | ED callback | HN-J4K9 — signed 2026-05-29 11:18 CT | Yes — signed-window handoff controls crisis facts | Crisis transfer | Current intent plus accessible medication stockpile; medically attended self-harm documented 2026-05-27 | 1 — Crisis transfer | No — outpatient reservation prohibited | 95 | No | Crisis-transfer client excluded until post-crisis disposition is known | No | Outpatient access excluded pending post-crisis disposition | Yes | Client only; carry the client-only limitation through the crisis handoff. | Signed handoff documents accepted mobile-crisis warm transfer. Raw triage band not used as disposition. | ||||||
| BH-C3T8 | Primary care warm handoff | HN-C3T8 — signed 2026-05-29 10:02 CT | Yes — signed-window handoff confirms trigger facts | Same-day clinician review | Trigger A: current death/self-harm thoughts, method/means considered within 30 days, and no documented safety plan | 2 — Same-day Trigger A | Reserved — eligible clinical appointment | S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review / Clinical same-day safety | In-person | 45 | Same day — before bridge threshold | No | 36 | 36 | 111 | |||
| BH-P8A4 | School referral | HN-P8A4 — signed 2026-05-29 10:41 CT | Yes — signed-window handoff confirms trigger and consent facts | Same-day clinician review | Trigger B: youth self-injury 6 days ago with current death/self-harm thoughts | 3 — Same-day Trigger B | Reserved — eligible clinical appointment | S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review / Clinical same-day safety | In-person | 45 | Same day — before bridge threshold | No | 36 | 58 | Same-day youth safety may proceed while guardian verification is pending. School counselor may receive scheduling status only; verify authority before youth therapy intake. | North youth-safety slot matches age, Riverbend, and English. Pending guardian verification does not block same-day youth safety review. | ||
| BH-M2N7 | Self referral | HN-M2N7 — signed 2026-05-29 10:36 CT | Yes — signed-window handoff controls command-content facts | Same-day clinician review | Trigger C: active command hallucinations to harm self without intent or accessible means | 4 — Same-day Trigger C | Reserved — eligible clinical appointment | S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review / Clinical same-day safety | In-person | 45 | Same day — before bridge threshold | No | 36 | 36 | 127 | |||
| BH-L0R6 | OB clinic | HN-L0R6 — signed 2026-05-29 10:58 CT | Yes — signed-window handoff controls perinatal and contact facts | Same-day clinician review | Trigger D: 8 weeks postpartum, intrusive infant-harm thoughts, 2.5 hours sleep/night, and no confirmed reliable support | 5 — Same-day Trigger D | Reserved — eligible clinical appointment | S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review / Clinical same-day safety | Telehealth | 45 | Same day — before bridge threshold | No | 36 | 58 | Do not contact partner. Outreach must be direct to client or through OB social work only; Spanish clinical contact is required. | Riverbend, signed telehealth consent, Spanish capacity, Central site, and perinatal same-day specialty all match the open slot. | ||
| BH-X1D5 | Inpatient discharge planning | HN-X1D5 — signed 2026-05-29 09:55 CT | Yes — signed-window handoff confirms recent psychiatric discharge | Priority access | Psychiatric inpatient discharge on 2026-05-24, within 7 calendar days of batch review; no crisis/same-day trigger | — | Reserved — eligible clinical appointment | P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition / Clinical intake | In-person | 60 | 2026-05-31 10:40 CT — before bridge threshold | No | 36 | 36 | 146 | |||
| BH-S5Q2 | Primary care warm handoff | HN-S5Q2 — signed 2026-05-29 10:24 CT | Yes — signed-window handoff controls withdrawal, language, and bridge facts | Priority access | Stable moderate alcohol-withdrawal presentation; no crisis/same-day trigger | — | No — no eligible clinical appointment | 152 | Yes | No eligible clinical appointment; stable moderate-withdrawal/SUD priority clients require bridge outreach regardless of appointment timing | Yes | Spanish clinical care required. P-SUD-7CX is Hold with interpreter unconfirmed; open P-SUD-1FZ is English-only and excludes Riverbend. | No | 155 | |||||||
| BH-R6W8 | Self referral | HN-R6W8 — signed 2026-05-29 10:50 CT | Yes — signed-window handoff confirms telehealth consent and functional impact | Priority access | GAD-7 19 with severe functional impairment and no behavioral-health provider seen within 72 hours; no crisis/same-day trigger | — | Reserved — eligible clinical appointment | P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake / Clinical intake | Telehealth | 60 | 2026-06-01 09:20 CT — before bridge threshold | No | 36 | 36 | 161 | |||
| BH-E7V1 | School referral | HN-E7V1 — signed 2026-05-29 11:05 CT | Yes — signed-window handoff controls current-thought and contact facts | Priority access | Youth self-injury about 21 days ago with no current self-harm thoughts | — | No — no eligible clinical appointment | 152 | Yes | No eligible clinical appointment can be reserved | Yes | Priority youth therapy requires verified guardian/caregiver authority. P-YTH-H5L cannot be reserved while authority remains unverified. | Yes | Do not leave voicemail or details with stepfather. School counselor may receive scheduling status only; caregiver authority must be confirmed before therapy intake. | Same-day youth safety exception does not apply because there are no current self-harm thoughts. The open youth therapy slot is not eligible without verified authority. | ||||||
| BH-Q2T0 | OB clinic | HN-Q2T0 — signed 2026-05-29 10:47 CT | Yes — signed-window handoff confirms no same-day perinatal trigger | Priority access | EPDS 17 at 5 months postpartum, without same-day perinatal trigger | — | Reserved — eligible clinical appointment | P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up / Clinical intake | Telehealth | 60 | 2026-06-02 10:30 CT — after bridge threshold | Yes | First scheduled clinical contact is after 2026-06-01 11:40 CT | No | 36 | 176 | ||
| BH-Z0B4 | Primary care referral | HN-Z0B4 — signed 2026-05-29 10:52 CT | Yes — signed-window handoff confirms West preference and Northstar Select coverage | Priority access | PHQ-9 22 with severe functional impairment and no behavioral-health provider seen within 72 hours; no crisis/same-day trigger | — | Reserved — eligible clinical appointment | P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake / Clinical intake | In-person | 60 | 2026-06-02 08:45 CT — after bridge threshold | Yes | First scheduled clinical contact is after 2026-06-01 11:40 CT | No | 36 | 183 | ||
| BH-T9Y6 | OB clinic | HN-T9Y6-DRAFT — draft unsigned 2026-05-29 11:35 CT | No — draft/unsigned note ignored; export facts retained | Priority access | GAD-7 19 with severe functional impairment and no behavioral-health provider seen within 72 hours; no crisis/same-day trigger | — | Reserved — eligible clinical appointment | P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake, perinatal-competent / Clinical intake | Telehealth | 60 | 2026-06-01 10:15 CT — before bridge threshold | No | 36 | 36 | 188 | |||
| BH-V9F3 | Primary care referral | HN-V9F3 — signed 2026-05-29 10:44 CT | Yes — signed-window handoff overrides raw urgent-access implication | Routine / waitlist | High symptom score is already covered by outside therapist seen 2026-05-29 at 08:15; existing psychiatrist and no current acuity | — | No — routine/waitlist, no urgent-access reservation | 195 | No | 36 | 36 | 196 | |||||||||
| BH-N4A1 | Primary care referral | HN-N4A1 — signed 2026-05-29 10:12 CT | Yes — signed-window handoff overrides raw psychosis checkbox | Routine / waitlist | Signed clarification attributes checkbox to tinnitus/hearing loss; no hallucinations, command content, current intent, or recent self-harm | — | No — routine/waitlist, no urgent-access reservation | 195 | No | 36 | 36 | 201 | |||||||||
| BH-A8U2 | ED follow-up queue | HN-A8U2 — signed 2026-05-29 10:32 CT | Yes — signed-window handoff overrides raw BH-ED utilization flag | Routine / waitlist | Loaded encounters were urgent care and non-behavioral ED; no behavioral-health ED visit or current decompensation | — | No — routine/waitlist, no urgent-access reservation | 195 | No | 36 | 36 | 207 | |||||||||
| BH-D5H0 | ED observation follow-up | HN-D5H0 — signed 2026-05-29 09:49 CT | Yes — signed-window handoff overrides raw inpatient implication | Routine / waitlist | ED observation on 2026-05-21 did not convert to psychiatric inpatient admission; no current deterioration | — | No — routine/waitlist, no urgent-access reservation | 195 | No | 36 | County Access Safety Net is limited to same-day safety review or post-crisis follow-up; no routine/priority therapy may be reserved. | No | 214 |
Slot Decisions
| Slot Eligibility and Reservation Decisions | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Capacity rule applied: only Open slots with blank hold code are available. Policy carve-outs supersede stale inventory payer text; group orientation is nonclinical. | ||||||||||||
| Slot ID | Start (CT) | Site | Program | Modality | Minutes | Source Slot Status | Hold Code | Availability Gate | Reconciliation Decision | Assigned Client | Eligibility / Decision Basis | Counts in Reserved Clinical Minutes |
| S-YSF-A7Q | 46171.5451388889 | North | Youth Safety Review | In-person | 45 | Open | 227 | Reserve | BH-P8A4 | Age 16; Riverbend; English; same-day youth safety may proceed with guardian verification pending. | Yes | |
| S-PSY-9D2 | 46171.5625 | East | Psychosis Safety Review | In-person | 45 | Open | 227 | Reserve | BH-M2N7 | Adult self-pay, English, East; command-content presentation matches specialty safety review. | Yes | |
| S-PERI-2B | 46171.5972222222 | Central | Perinatal Rapid Review | Telehealth | 45 | Open | 227 | Reserve | BH-L0R6 | Riverbend, Spanish, signed telehealth consent, and perinatal same-day presentation match. | Yes | |
| S-ASR-3P1 | 46171.6319444445 | East | Adult Safety Review | In-person | 45 | Open | 227 | Reserve | BH-C3T8 | Adult Riverbend, English, East; Trigger A presentation matches adult safety review. | Yes | |
| S-ASR-HOLD-8MV | 46171.6666666667 | East | Adult Safety Review | In-person | 45 | QA release pending | MIGRATION-HOLD | Unavailable — status/hold prevents use | Do not use | 241 | No | |
| P-POST-HLD-6R2 | 46172.3472222222 | East | Post-Discharge Transition | In-person | 60 | Tentative | ED-CALLBACK-RESERVE | Unavailable — status/hold prevents use | Do not use | 246 | No | |
| P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Hold | INTERPRETER-UNCONFIRMED | Unavailable — status/hold prevents use | Do not use | 251 | No | |
| P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Telehealth | 30 | Open | 227 | Do not reserve | 254 | No | ||
| P-PDT-6N4 | 46173.4444444445 | East | Post-Discharge Transition | In-person | 60 | Open | 227 | Reserve | BH-X1D5 | Recent psychiatric discharge; adult Riverbend, English, and East match the dedicated transition slot. | Yes | |
| P-ADT-CEN-5QW | 46173.5416666667 | Central | Adult Therapy Intake | Telehealth | 60 | Open | 227 | Do not reserve | 258 | No | ||
| P-ADT-K3M | 46174.3888888889 | East | Adult Therapy Intake | Telehealth | 60 | Open | 227 | Reserve | BH-R6W8 | CedarCare may use East adult therapy; English and signed telehealth consent match. | Yes | |
| P-ADT-TRI | 46174.4270833333 | East | Adult Therapy Intake, perinatal-competent | Telehealth | 60 | Open | 227 | Reserve | BH-T9Y6 | BlueChoice, English, signed telehealth consent, and pregnancy-specific capacity note match. | Yes | |
| P-GRP-4MJ | 46174.5833333333 | West | Skills Group Orientation | In-person | 90 | Open | 227 | Do not reserve | 264 | No | ||
| P-ADT-V4R | 46175.3645833333 | West | Adult Therapy Intake | In-person | 60 | Open | 227 | Reserve | BH-Z0B4 | Northstar Select explicitly accepted; in-person West slot meets both carve-out and stated site preference. | Yes | |
| P-PER-F8Q | 46175.4375 | Central | Perinatal Follow-Up | Telehealth | 60 | Open | 227 | Reserve | BH-Q2T0 | Riverbend, English, signed telehealth consent, and perinatal priority presentation match. | Yes | |
| P-YTH-H5L | 46176.6527777778 | North | Youth Therapy Intake | In-person | 60 | Open | 227 | Do not reserve | 270 | No |
Bridge & Contact
| Bridge Outreach and Protected-Contact Controls | ||||||
|---|---|---|---|---|---|---|
| Bridge threshold: 2026-06-01 11:40 CT. Count non-crisis priority clients with a first clinical contact after threshold or no eligible appointment; count stable moderate-withdrawal/SUD priority clients regardless of timing. | ||||||
| Bridge-outreach queue | ||||||
| Client | Final Pathway | Reservation / First Contact | Bridge Basis | Unresolved Priority | Protected Contact | Operational Caveat |
| BH-S5Q2 | Priority access | No eligible clinical contact reserved | No eligible clinical appointment; stable moderate-withdrawal/SUD priority clients require bridge outreach regardless of appointment timing | Yes | No | Spanish clinical care required. P-SUD-7CX is Hold with interpreter unconfirmed; open P-SUD-1FZ is English-only and excludes Riverbend. |
| BH-E7V1 | Priority access | No eligible clinical contact reserved | No eligible clinical appointment can be reserved | Yes | Yes | Priority youth therapy requires verified guardian/caregiver authority. P-YTH-H5L cannot be reserved while authority remains unverified. |
| BH-Q2T0 | Priority access | P-PER-F8Q | 2026-06-02 10:30 CT — after bridge threshold | First scheduled clinical contact is after 2026-06-01 11:40 CT | No | No | Bridge outreach required before first clinical contact. |
| BH-Z0B4 | Priority access | P-ADT-V4R | 2026-06-02 08:45 CT — after bridge threshold | First scheduled clinical contact is after 2026-06-01 11:40 CT | No | No | Bridge outreach required before first clinical contact. |
| Protected-contact handoff | ||||||
| Client | Restriction Category | Permitted / Required Path | Do Not Use / Do Not Assume | Scheduling Consequence | Relevant Route | Source Control |
| BH-J4K9 | Client-only limitation | Client-only contact during crisis handoff. | Do not use ordinary family, partner, or collateral outreach. | No outpatient slot; preserve restriction pending post-crisis disposition. | Crisis transfer | Referral export contact instruction |
| BH-P8A4 | Guardian verification pending; school collateral limited | Same-day youth safety review may proceed. School counselor may receive scheduling status only. | Do not treat unverified guardian/caregiver or school counselor as authority for therapy intake. | Do not reserve routine/priority youth therapy until authority verified. | Same-day clinician review | Signed HN-P8A4 + youth-consent rule |
| BH-L0R6 | Partner do-not-contact | Direct client contact or OB social work only; use Spanish-capable clinical contact. | Do not contact partner. | Perinatal same-day reservation may proceed; retain route restriction. | Same-day clinician review | Signed HN-L0R6 |
| BH-E7V1 | Unverified caregiver authority; stepfather/school collateral restriction | School counselor may receive scheduling status only; authority must be confirmed before therapy intake. | Do not leave voicemail or details with stepfather; do not assume caregiver authority. | No priority youth therapy reservation; bridge must retain restriction. | Priority access | Signed HN-E7V1 + youth-consent rule |
| Reminder: a Spanish clinical-language requirement is a capacity/eligibility requirement, not by itself a restricted-contact flag. Do not leave a protected-contact control out of bridge outreach merely because no appointment was reserved. | ||||||
User prompt → 49 turns · 40 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 signed handoffs, then produce only the requested memo a…
I’ll reconcile the batch strictly against the supplied rules and signed handoffs, then produce only the requested memo and operations workbook in
/workspace/output/. I’m using the document and spreadsheet workflows because both deliverables require preserving structured, reviewable formatting.7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"pwd && rg --files -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 wc -l \"$f\"; done","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":2000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: 590 /root/.agents/skills/docx/SKILL.md 291 /root/.agents/skills/xlsx/SKILL.md 314 /root/.agents/skills/pdf/SKILL.md
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"sed -n '1,220p' /root/.agents/skills/docx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: --- name: docx description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks for a 'report', 'memo', 'letter', 'template', or similar deliverable as a Word or .docx file, use this skill. Do NOT use for PDFs, spreadsheets, Google Docs, or general coding tasks unrelated to document generation." license: Proprietary. LICENSE.txt has complete t
… 7,398 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":"sed -n '221,440p' /root/.agents/skills/docx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.2 seconds Output: - For full-width tables: use content width (page width minus left and right margins) ### Images ```javascript // CRITICAL: type parameter is REQUIRED new Paragraph({ children: [new ImageRun({ type: "png", // Required: png, jpg, jpeg, gif, bmp, svg data: fs.readFileSync("image.png"), transformation: { width: 200, height: 150 }, altText: { title: "Title", description: "Desc", name: "Name" } // All three required })] }) ``` ### Page Breaks ```javascript // CRITICAL: PageBreak must be inside a Paragraph 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: "Hyperl… 6,554 more characters of output in the raw trajectory.
11Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"sed -n '441,680p' /root/.agents/skills/docx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: **Auto-repair will fix:** - `durableId` >= 0x7FFFFFFF (regenerates valid ID) - Missing `xml:space="preserve"` on `<w:t>` with whitespace **Auto-repair won't fix:** - Malformed XML, invalid element nesting, missing relationships, schema violations ### Common Pitfalls - **Replace entire `<w:r>` elements**: When adding tracked changes, replace the whole `<w:r>...</w:r>` block with `<w:del>...<w:ins>...` as siblings. Don't inject tracked change tags inside a run. - **Preserve `<w:rPr>` formatting**: Copy the original run's `<w:rPr>` block into your tracked change runs to maintain bold, font size, etc. --- ## XML Reference ### Schema Compliance - **Element order in `<w:pPr>`**: `<w:pStyle>`, `<w:numPr>`, `<w:spacing>`, `<w:ind>`, `<w:jc>`, `<w:rPr>` last - **Whitespace**: Add `xml:space="preserve"` to `<w:t>` with leading/trailing spaces - **
… 4,086 more characters of output in the raw trajectory.
12Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"sed -n '1,340p' /root/.agents/skills/xlsx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: --- name: xlsx description: "Use this skill any time a spreadsheet file is the primary input or output. This means any task where the user wants to: open, read, edit, or fix an existing .xlsx, .xlsm, .csv, or .tsv file (e.g., adding columns, computing formulas, formatting, charting, cleaning messy data); create a new spreadsheet from scratch or from other data sources; or convert between tabular file formats. Trigger especially when the user references a spreadsheet file by name or path — even casually (like \"the xlsx in my downloads\") — and wants something done to it or produced from it. Also trigger for cleaning or restructuring messy tabular data files (malformed rows, misplaced headers, junk data) into proper spreadsheets. The deliverable must be a spreadsheet file. Do NOT trigger when the primary deliverable is a Word document, HTML report, standalone Python
… 10,972 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 '1,360p' /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: --- name: pdf description: Use this skill whenever the user wants to do anything with PDF files. This includes reading or extracting text/tables from PDFs, combining or merging multiple PDFs into one, splitting PDFs apart, rotating pages, adding watermarks, creating new PDFs, filling PDF forms, encrypting/decrypting PDFs, extracting images, and OCR on scanned PDFs to make them searchable. If the user mentions a .pdf file or asks to produce one, use this skill. license: Proprietary. LICENSE.txt has complete terms --- # PDF Processing Guide ## Overview This guide covers essential PDF processing operations using Python libraries and command-line tools. For advanced features, JavaScript libraries, and detailed examples, see REFERENCE.md. If you need to fill out a PDF form, read FORMS.md and follow its instructions. ## Quick Start ```python from pypdf im
… 7,489 more characters of output in the raw trajectory.
14I’ve identified four source files: the controlling access-services rules (PDF), referral export and slot roster (workboo…
I’ve identified four source files: the controlling access-services rules (PDF), referral export and slot roster (workbooks), and the signed handoff packet (Word). I’ll first normalize the source facts, then apply only the stated precedence and eligibility rules.
15Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"mkdir -p /tmp/access_recon && pdftotext -layout /workspace/data/access_services_rules_cutover_queue.pdf /tmp/access_recon/rules.txt && pandoc --track-changes=all /workspace/data/signed_clinical_handoff_packet.docx -t plain -o /tmp/access_recon/handoffs.txt && wc -l /tmp/access_recon/rules.txt /tmp/access_recon/handoffs.txt && sed -n '1,260p' /tmp/access_recon/rules.txt && printf '\\n--- HANDOFFS ---\\n' && sed -n '1,300p' /tmp/access_recon/handoffs.txt","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000});… 21 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.2 seconds Output: /bin/bash: line 1: pandoc: command not found
16Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"wc -l /tmp/access_recon/rules.txt && sed -n '1,360p' /tmp/access_recon/rules.txt && command -v python && python - <<'PY'\ntry:\n import docx\n print('python-docx available')\nexcept Exception as e: print(type(e).__name__, e)\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}); text(r.output);Output
Script completed Wall time 0.6 seconds Output: 113 /tmp/access_recon/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… 8,525 more characters of output in the raw trajectory.
17Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom docx import Document\np='/workspace/data/signed_clinical_handoff_packet.docx'\ndoc=Document(p)\nfor i, para in enumerate(doc.paragraphs, 1):\n if para.text.strip(): print(f'P{i}: {para.text}')\nfor ti, table in enumerate(doc.tables, 1):\n print(f'\\n[TABLE {ti}]')\n for ri,row in enumerate(table.rows, 1):\n print(' | '.join(cell.text.replace('\\n',' / ') for cell in row.cells))\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}); text(r.output);Output
Script completed Wall time 0.4 seconds Output: P1: Access Services Care-Coordination Notes Packet P2: Cutover queue review window: 2026-05-29 09:30-11:40 CT | Service line: urgent access desk P3: 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. P5: End of packet. [TABLE 1] Note metadata | Care-coordination note Note ID: HN-J4K9 / Client ID: BH-J4K9 / Status: SIGNED 2026-05-29 11:18 CT / Origin: LCSW ED callback | Client stated intent to act tonight and described medication stockpile at home as accessible means. Urgent-care record from 2026-05-27 shows medically attended self-harm laceration. Mobile crisis warm transfer was accepted during call. Do not place into outpatient access until crisis disposition is known. Note ID: HN-C3T8 / Client ID: BH-C3T8 /
… 5,037 more characters of output in the raw trajectory.
18Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\nfor p in ['/workspace/data/referral_batch_export.xlsx','/workspace/data/slot_inventory_and_roster.xlsx']:\n print('\\n###',p)\n wb=load_workbook(p,data_only=False)\n print('sheets',wb.sheetnames)\n for ws in wb.worksheets:\n print('\\n--',ws.title,'rows',ws.max_row,'cols',ws.max_column,'state',ws.sheet_state)\n for row in ws.iter_rows(values_only=True): print('\\t'.join('' if x is None else str(x) for x in row))\nPY","workdir":"/workspace","yield_time_ms":10000,… 50 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.1 seconds Output: ### /workspace/data/referral_batch_export.xlsx sheets ['Referral_Export', 'Batch_Context', 'Extract_Control'] -- Referral_Export rows 17 cols 30 state visible 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
… 11,129 more characters of output in the raw trajectory.
19Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node -e \"try{require('docx');console.log('docx available')}catch(e){console.log('docx unavailable:',e.message)}\"; rg --files /root/.agents/skills/docx /tmp/codex-home/skills/.system 2>/dev/null | rg '/(validate\\.py|recalc\\.py|soffice\\.py)$' | sed -n '1,80p'; ls -la /workspace/output 2>/dev/null || true","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":4000}); text(r.output);Output
Script completed Wall time 0.2 seconds Output: docx unavailable: Cannot find module 'docx' Require stack: - /workspace/[eval] /root/.agents/skills/docx/scripts/office/soffice.py /root/.agents/skills/docx/scripts/office/validate.py
20Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"npm install --prefix /tmp/access_recon/node docx@9.5.1","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 1.9 seconds Output: added 22 packages in 2s 1 package is looking for funding run `npm fund` for details
21Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"rg --files /root/.agents/skills/xlsx /root/.agents/skills/docx | rg '(recalc\\.py|validate\\.py|unpack\\.py|pack\\.py)$' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":4000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /root/.agents/skills/docx/scripts/office/pack.py /root/.agents/skills/docx/scripts/office/unpack.py /root/.agents/skills/docx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/office/pack.py /root/.agents/skills/xlsx/scripts/office/unpack.py /root/.agents/skills/xlsx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/recalc.py
22exec1
Tool execution only — no assistant text
execconst r = await tools.apply_patch("*** Begin Patch\n*** Add File: /tmp/access_recon/create_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+from openpyxl import Workbook, load_workbook\n+from openpyxl.comments import Comment\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+
Arguments
const r = await tools.apply_patch("*** Begin Patch\n*** Add File: /tmp/access_recon/create_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+from openpyxl import Workbook, load_workbook\n+from openpyxl.comments import Comment\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+… 41,654 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}23Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /tmp/access_recon/create_workbook.py && ls -lh /workspace/output/routing_reconciliation_workbook.xlsx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 1.3 seconds Output: -rw-r--r-- 1 root root 23K Aug 20 03:07 /workspace/output/routing_reconciliation_workbook.xlsx
24exec1
Tool execution only — no assistant text
execconst r = await tools.apply_patch("*** Begin Patch\n*** Add File: /tmp/access_recon/create_memo.js\n+const fs = require('fs');\n+const {\n+ Document,\n+ Packer,\n+ Paragraph,\n+ TextRun,\n+ Table,\n+ TableRow,\n+ TableCell,\n+ Header,\n+ Footer,\n+ AlignmentType,\n+ BorderStyle,\n+ WidthType,\n+ ShadingType,\n+ VerticalAlign,\n+ PageNumber,\n+ HeadingLevel,\n+ PageBreak,\n+} = require('/tmp/access_recon/node/node_modules/docx');\n+\n+const out = '/workspace/output/access_reconciliation_memo.docx';\n+const contentWidth = 10512;\n+const colors
Arguments
const r = await tools.apply_patch("*** Begin Patch\n*** Add File: /tmp/access_recon/create_memo.js\n+const fs = require('fs');\n+const {\n+ Document,\n+ Packer,\n+ Paragraph,\n+ TextRun,\n+ Table,\n+ TableRow,\n+ TableCell,\n+ Header,\n+ Footer,\n+ AlignmentType,\n+ BorderStyle,\n+ WidthType,\n+ ShadingType,\n+ VerticalAlign,\n+ PageNumber,\n+ HeadingLevel,\n+ PageBreak,\n+} = require('/tmp/access_recon/node/node_modules/docx');\n+\n+const out = '/workspace/output/access_reconciliation_memo.docx';\n+const contentWidth = 10512;\n+const colors… 16,669 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}25Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"rg -n \"\\\\\\\\n|\\\\n\" /tmp/access_recon/create_memo.js | sed -n '1,120p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":4000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: rg: the literal "\n" is not allowed in a regex Consider enabling multiline mode with the --multiline flag (or -U for short). When multiline mode is enabled, new line characters can be matched.
26Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"rg -n -F '\\\\n' /tmp/access_recon/create_memo.js","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":4000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output:
27Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"sed -n '105,250p' /tmp/access_recon/create_memo.js","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: })), }); const bodyRows = rows.map((row, rowIndex) => new TableRow({ children: row.map((value, index) => cell(value, widths[index], { fill: (fills[rowIndex] && fills[rowIndex][index]) || (rowIndex % 2 === 0 ? colors.white : colors.paleBlue), size: 17, })), })); return new Table({ width: { size: contentWidth, type: WidthType.DXA }, columnWidths: widths, rows: [headerRow, ...bodyRows], }); } const snapshot = makeTable( ['Decision area', 'Count', 'Operational reading'], [ ['Escalation queue', '5', '1 crisis transfer and 4 same-day clinician reviews in policy order.'], ['Priority access', '7', '5 priority clients have an eligible appointment; 2 remain unresolved because no eligible clinical slot can be reserved.'], ['Bridge outreach', '4', 'BH-S5Q2, BH-E7V1, BH-Q2T0, and BH-Z0B4 require brid… 7,998 more characters of output in the raw trajectory.
28Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"grep -n '\\\\n' /tmp/access_recon/create_memo.js || true","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":4000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: 143: '1 — BH-J4K9\nCrisis transfer', 148: '2 — BH-C3T8\nSame-day Trigger A', 153: '3 — BH-P8A4\nSame-day Trigger B', 158: '4 — BH-M2N7\nSame-day Trigger C', 163: '5 — BH-L0R6\nSame-day Trigger D', 209: 'BH-S5Q2\nUnresolved priority', 214: 'BH-E7V1\nUnresolved priority', 219: 'BH-Q2T0\nPriority reserved', 224: 'BH-Z0B4\nPriority reserved',
29exec1
Tool execution only — no assistant text
execconst r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_memo.js\n@@\n- '1 — BH-J4K9\\nCrisis transfer',\n+ ['1 — BH-J4K9', 'Crisis transfer'],\n@@\n- '2 — BH-C3T8\\nSame-day Trigger A',\n+ ['2 — BH-C3T8', 'Same-day Trigger A'],\n@@\n- '3 — BH-P8A4\\nSame-day Trigger B',\n+ ['3 — BH-P8A4', 'Same-day Trigger B'],\n@@\n- '4 — BH-M2N7\\nSame-day Trigger C',\n+ ['4 — BH-M2N7', 'Same-day Trigger C'],\n@@\n- '5 — BH-L0R6\\nSame-day Trigger D',\n+ ['5 — BH-L0R6', 'Same-day Trigg
Arguments
const r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_memo.js\n@@\n- '1 — BH-J4K9\\nCrisis transfer',\n+ ['1 — BH-J4K9', 'Crisis transfer'],\n@@\n- '2 — BH-C3T8\\nSame-day Trigger A',\n+ ['2 — BH-C3T8', 'Same-day Trigger A'],\n@@\n- '3 — BH-P8A4\\nSame-day Trigger B',\n+ ['3 — BH-P8A4', 'Same-day Trigger B'],\n@@\n- '4 — BH-M2N7\\nSame-day Trigger C',\n+ ['4 — BH-M2N7', 'Same-day Trigger C'],\n@@\n- '5 — BH-L0R6\\nSame-day Trigger D',\n+ ['5 — BH-L0R6', 'Same-day Trigg… 455 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}30Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node /tmp/access_recon/create_memo.js && ls -lh /workspace/output/access_reconciliation_memo.docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 0.3 seconds Output: -rw-r--r-- 1 root root 15K Aug 20 03:08 /workspace/output/access_reconciliation_memo.docx
31The reconciliation decisions are now structured into the requested two deliverables. I’m validating the Word layout and…
The reconciliation decisions are now structured into the requested two deliverables. I’m validating the Word layout and recalculating/checking the workbook formulas next, including the capacity and protected-contact controls.
32Shell1
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 /workspace/output/access_reconciliation_memo.docx && 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}); text(r.output);Output
Script completed Wall time 5.7 seconds Output: Paragraphs: 0 → 152 (+152) All validations PASSED! { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 10 }33Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='/workspace/output/routing_reconciliation_workbook.xlsx'\nwbv=load_workbook(p, data_only=True)\nws=wbv['Queue Summary']\nfor r in range(6,16): print(ws.cell(r,1).value, '|', ws.cell(r,2).value)\nprint('sheets:', wbv.sheetnames)\nfor ws in wbv.worksheets: print(ws.title, ws.max_row, ws.max_column)\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}); text(r.output);Output
Script completed Wall time 0.7 seconds Output: Total referrals reconciled | 16 Crisis transfers | 1 Same-day clinician reviews | 4 Priority-access clients | 7 Priority clients with reservation | 5 Unresolved priority clients | 2 Bridge-outreach needs | 4 Protected-contact flags | 4 High-acuity clinical reservations | 9 Reserved clinical minutes | 480 sheets: ['Queue Summary', 'Client Routing', 'Slot Decisions', 'Bridge & Contact'] Queue Summary 32 6 Client Routing 19 22 Slot Decisions 19 13 Bridge & Contact 20 7
34Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"mkdir -p /tmp/access_recon/rendered && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_recon/rendered /workspace/output/access_reconciliation_memo.docx && pdfinfo /tmp/access_recon/rendered/access_reconciliation_memo.pdf | rg 'Pages|Page size' && pdftoppm -png -r 120 /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo >/dev/null && rg --files /tmp/access_recon/rendered | sort","workdir":"/workspace","yield_time_ms":30000,"max_output_t… 37 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.2 seconds Output: Warning: failed to launch javaldx - java may not function correctly convert /workspace/output/access_reconciliation_memo.docx as a Writer document -> /tmp/access_recon/rendered/access_reconciliation_memo.pdf using filter : writer_pdf_Export Pages: 3 Page size: 612 x 792 pts (letter) /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo-1.png /tmp/access_recon/rendered/memo-2.png /tmp/access_recon/rendered/memo-3.png
35exec1
Tool execution only — no assistant text
execconst a = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-1.png","detail":"high"}); const b = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-2.png","detail":"high"}); const c = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-3.png","detail":"high"}); image(a.image_url); image(b.image_url); image(c.image_url);
Arguments
const a = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-1.png","detail":"high"}); const b = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-2.png","detail":"high"}); const c = await tools.view_image({"path":"/tmp/access_recon/rendered/memo-3.png","detail":"high"}); image(a.image_url); image(b.image_url); image(c.image_url);Output
Script completed Wall time 0.1 seconds Output:
… 1,107,772 more characters of output in the raw trajectory.
36exec1
Tool execution only — no assistant text
execconst r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_memo.js\n@@\n- ['Start / client', 'Slot', 'Route', 'Program / modality', 'Minutes', 'Bridge'],\n+ ['Start / client', 'Slot', 'Route', 'Program / modality', 'Min.', 'Bridge'],\n*** Update File: /tmp/access_recon/create_workbook.py\n@@\n- ['BH-E7V1', 'Unverified caregiver authority; stepfather/college collateral restriction', 'School counselor may receive scheduling status only; authority must be confirmed before therapy intake.', 'Do not leave voicemail or details with stepfather
Arguments
const r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_memo.js\n@@\n- ['Start / client', 'Slot', 'Route', 'Program / modality', 'Minutes', 'Bridge'],\n+ ['Start / client', 'Slot', 'Route', 'Program / modality', 'Min.', 'Bridge'],\n*** Update File: /tmp/access_recon/create_workbook.py\n@@\n- ['BH-E7V1', 'Unverified caregiver authority; stepfather/college collateral restriction', 'School counselor may receive scheduling status only; authority must be confirmed before therapy intake.', 'Do not leave voicemail or details with stepfather… 675 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}37Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node /tmp/access_recon/create_memo.js && python /tmp/access_recon/create_workbook.py && python /root/.agents/skills/docx/scripts/office/validate.py /workspace/output/access_reconciliation_memo.docx && 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}); text(r.output);Output
Script completed Wall time 4.3 seconds Output: Paragraphs: 0 → 152 (+152) All validations PASSED! { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 10 }38Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort && python - <<'PY'\nfrom openpyxl import load_workbook\np='/workspace/output/routing_reconciliation_workbook.xlsx'\nwb=load_workbook(p, data_only=True)\nws=wb['Queue Summary']\nprint('metrics=', [ws.cell(r,2).value for r in range(6,16)])\nprint('workbook sheets=', wb.sheetnames)\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}); text(r.output);Output
Script completed Wall time 0.8 seconds Output: access_reconciliation_memo.docx routing_reconciliation_workbook.xlsx metrics= [16, 1, 4, 7, 5, 2, 4, 4, 9, 480] workbook sheets= ['Queue Summary', 'Client Routing', 'Slot Decisions', 'Bridge & Contact']
39Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"rm -f /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo-*.png && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_recon/rendered /workspace/output/access_reconciliation_memo.docx >/tmp/access_recon/soffice.log 2>&1 && pdftoppm -png -r 120 /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo >/dev/null && pdfinfo /tmp/access_recon/rendered/access_reconciliation_memo.pdf | rg 'Pages|Page size'","workdir"… 91 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 -f /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo-*.png && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_recon/rendered /workspace/output/access_reconciliation_memo.docx >/tmp/access_recon/soffice.log 2>&1 && pdftoppm -png -r 120 /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo >/dev/null && pdfinfo /tmp/access_recon/rendered/access_reconciliation_memo.pdf | rg 'Pages|Page size'"`: CreateProcess { message: "Rejected(\"`/bin/bash -lc \\\"rm -f /tmp/access_recon/rendered/access_reconciliation_memo.pdf /tmp/access_recon/rendered/memo-*.png && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir /tmp/access_recon/rendered /work… 388 more characters of output in the raw trajectory.
40Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"render_dir=$(mktemp -d /tmp/access_recon/final_render.XXXXXX) && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_dir\" /workspace/output/access_reconciliation_memo.docx >/tmp/access_recon/soffice_final.log 2>&1 && pdftoppm -png -r 120 \"$render_dir/access_reconciliation_memo.pdf\" \"$render_dir/memo\" >/dev/null && pdfinfo \"$render_dir/access_reconciliation_memo.pdf\" | rg 'Pages|Page size' && printf '%s\\n' \"$render_dir\"","workdir":"/workspace","yiel… 69 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 2.2 seconds Output: Pages: 3 Page size: 612 x 792 pts (letter) /tmp/access_recon/final_render.26qlXb
41exec1
Tool execution only — no assistant text
execconst i = await tools.view_image({"path":"/tmp/access_recon/final_render.26qlXb/memo-2.png","detail":"high"}); image(i.image_url);
Arguments
const i = await tools.view_image({"path":"/tmp/access_recon/final_render.26qlXb/memo-2.png","detail":"high"}); image(i.image_url);Output
Script completed Wall time 0.0 seconds Output:
… 424,924 more characters of output in the raw trajectory.
42Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"render_dir=$(mktemp -d /tmp/access_recon/xlsx_render.XXXXXX) && python /root/.agents/skills/docx/scripts/office/soffice.py --headless --convert-to pdf --outdir \"$render_dir\" /workspace/output/routing_reconciliation_workbook.xlsx >/tmp/access_recon/xlsx_soffice.log 2>&1 && pdfinfo \"$render_dir/routing_reconciliation_workbook.pdf\" | rg 'Pages|Page size' && printf '%s\\n' \"$render_dir\"","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":10000}); text(r.output);Output
Script completed Wall time 1.3 seconds Output: Pages: 5 Page size: 792 x 612 pts (letter) /tmp/access_recon/xlsx_render.Bfeua4
43Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"pdftoppm -png -r 110 /tmp/access_recon/xlsx_render.Bfeua4/routing_reconciliation_workbook.pdf /tmp/access_recon/xlsx_render.Bfeua4/sheet >/dev/null && rg --files /tmp/access_recon/xlsx_render.Bfeua4 | sort","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":10000}); text(r.output);Output
Script completed Wall time 0.7 seconds Output: /tmp/access_recon/xlsx_render.Bfeua4/routing_reconciliation_workbook.pdf /tmp/access_recon/xlsx_render.Bfeua4/sheet-1.png /tmp/access_recon/xlsx_render.Bfeua4/sheet-2.png /tmp/access_recon/xlsx_render.Bfeua4/sheet-3.png /tmp/access_recon/xlsx_render.Bfeua4/sheet-4.png /tmp/access_recon/xlsx_render.Bfeua4/sheet-5.png
44exec1
Tool execution only — no assistant text
execconst a = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-1.png","detail":"high"}); const b = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-2.png","detail":"high"}); const c = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-4.png","detail":"high"}); const d = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-5.png","detail":"high"}); image(a.image_url); image(b.image_url); image(c.image_url); image(d.image_url);
Arguments
const a = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-1.png","detail":"high"}); const b = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-2.png","detail":"high"}); const c = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-4.png","detail":"high"}); const d = await tools.view_image({"path":"/tmp/access_recon/xlsx_render.Bfeua4/sheet-5.png","detail":"high"}); image(a.image_url); image(b.image_url); image(c.image_url); image(d.image_url);Output
Script completed Wall time 0.1 seconds Output:
… 593,034 more characters of output in the raw trajectory.
45exec1
Tool execution only — no assistant text
execconst r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_workbook.py\n@@\n-routing.page_setup.fitToWidth = 1\n+routing.page_setup.fitToWidth = 2\n@@\n-slot_sheet.page_setup.fitToWidth = 1\n+slot_sheet.page_setup.fitToWidth = 2\n*** End Patch"); text(typeof r === "string" ? r : JSON.stringify(r));
Arguments
const r = await tools.apply_patch("*** Begin Patch\n*** Update File: /tmp/access_recon/create_workbook.py\n@@\n-routing.page_setup.fitToWidth = 1\n+routing.page_setup.fitToWidth = 2\n@@\n-slot_sheet.page_setup.fitToWidth = 1\n+slot_sheet.page_setup.fitToWidth = 2\n*** End Patch"); text(typeof r === "string" ? r : JSON.stringify(r));Output
Script completed Wall time 0.0 seconds Output: {}46Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /tmp/access_recon/create_workbook.py && python /root/.agents/skills/xlsx/scripts/recalc.py /workspace/output/routing_reconciliation_workbook.xlsx 60 && python - <<'PY'\nfrom openpyxl import load_workbook\np='/workspace/output/routing_reconciliation_workbook.xlsx'\nwb=load_workbook(p, data_only=True)\nprint([wb['Queue Summary'].cell(r,2).value for r in range(6,16)])\nPY","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}); text(r.output);Output
Script completed Wall time 4.2 seconds Output: { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 10 } - 16 - 1 - 4 - 7 - 5 - 2 - 4 - 4 - 9 - 48047Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"unzip -t /workspace/output/access_reconciliation_memo.docx >/dev/null && unzip -t /workspace/output/routing_reconciliation_workbook.xlsx >/dev/null && find /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort && git -C /workspace status --short 2>/dev/null || true","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}); text(r.output);Output
Script completed Wall time 0.1 seconds Output: /bin/bash: line 1: unzip: command not found
48Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom zipfile import ZipFile\nfrom pathlib import Path\nfor path in (Path('/workspace/output/access_reconciliation_memo.docx'), Path('/workspace/output/routing_reconciliation_workbook.xlsx')):\n with ZipFile(path) as z:\n bad = z.testzip()\n print(path.name, 'zip_ok' if bad is None else f'bad member: {bad}', 'members', len(z.namelist()))\nPY\nfind /workspace/output -maxdepth 1 -type f -printf '%f\\n' | sort","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}); text(… 14 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.2 seconds Output: access_reconciliation_memo.docx zip_ok members 24 routing_reconciliation_workbook.xlsx zip_ok members 23 access_reconciliation_memo.docx routing_reconciliation_workbook.xlsx
49Completed and validated both deliverables: - [Access reconciliation memo](/workspace/output/access_reconciliation_memo.d…
Completed and validated both deliverables:
- Access reconciliation memo
- Routing reconciliation workbook
Summary: 1 crisis transfer, 4 same-day reviews, 5 reserved priority appointments, 2 unresolved priority cases, 4 bridge-outreach needs, and 9 high-acuity reservations totaling 480 clinical minutes.
2 failure modes across 2 verifier failures
1Required Rationale or Authority Statement OmittedView on Failure Modes ↗Presentation and Communication1 failure
Description
Is the underlying decision correct or substantially present, but the memo fails to state a required rule hierarchy, source-governance principle, item-specific reason, signed-term basis, or operating condition?
Failure evidence · per affected verifier
All four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
2Off-Scope Advice AddedView on Failure Modes ↗Presentation and Communication1 failure
Description
With the requested reconciliation or analysis otherwise present, does the final communication add unrequested clinical, treatment, monitoring, referral, release, or operational workflow directives?
Failure evidence · per affected verifier
The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.