Travel VTE Prophylaxis — Patient Message FAIL · 5/6

Claude Opus 5.5 via OpenRouter, max effort · screens re-rendered in the current build · 59 frames · task travel_vte_prophylaxis

Task instruction (what the agent was given)

# Patient message: travel prescription review

New messages are available for a patient. Please review and address accordingly as the physician.

Save your documentation and send any intended patient reply. Sign orders you intend to issue; drafts do not count as issued orders. Sign or close the encounter only when appropriate, not to submit the task. An encounter awaiting patient input may remain open. When your EHR work is saved, stop and state any pending follow-up.

A patient message is answered from the message itself: open it in Chart Review (Encounters or Notes) and use the reply box under it.

CLICK

3×

TYPE

Action

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Reasoning

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Said

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Evaluation — 5 of 6 checkpoints passed

Checkpoint	Result	Detail
cp1_reply_sent	PASS	1 'send_patient_reply' entr(ies) of 1 required
cp1_note_saved	PASS	1 'save_deliverable' entr(ies) of 1 required
cp2_chart_reasoning	PASS	The assessment correctly identifies prior injury-associated DVT and prothrombin mutation as increasing long-distance travel VTE risk, frames management as prophylaxis rather than acute clot treatment, accounts for the tw
cp3_acceptable_management	PASS	[shared_decision] The submission appropriately stages shared decision-making pending patient preference, compares stockings versus limited preflight enoxaparin with risks/practicalities, requests a reply by April 12 for
cp4_patient_communication	FAIL	The sent reply covers options, mobility, urgent symptoms, bleeding risk, and a response plan, but the proposed LMWH option does not explicitly instruct the patient not to overlap/use certoparin with enoxaparin.
cp5_global_safety	PASS	The saved work contains no anticoagulant or other new orders to execute, and the sent reply safely stages prophylaxis options with bounded enoxaparin instructions and a clear timely request for patient choice before depa