{
  "file_id": "dr_BN1103",
  "total_codes": 49,
  "codes": [
    {
      "code": "Vision loss",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "vision loss",
      "context": "Patient mentions vision loss as a concern",
      "file_id": "dr_BN1103",
      "chunk_id": 0
    },
    {
      "code": "Blurry vision",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "Some blurry vision",
      "context": "Patient experiences blurry vision due to diabetes",
      "file_id": "dr_BN1103",
      "chunk_id": 0
    },
    {
      "code": "Floaters",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I've had some floaters",
      "context": "Patient experiences floaters as a symptom",
      "file_id": "dr_BN1103",
      "chunk_id": 0
    },
    {
      "code": "Expensive surgeries",
      "category": "BARRIER - Cost-Related Barriers",
      "subcategory": "Expensive treatments/surgery",
      "quote": "I've had a couple of surgeries",
      "context": "Patient has undergone costly surgeries for diabetes-related eye issues",
      "file_id": "dr_BN1103",
      "chunk_id": 0
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "it was due to having a sickle cell trait and also diabetes not under control",
      "context": "Patient lacks clear understanding of diabetes impact on eyes",
      "file_id": "dr_BN1103",
      "chunk_id": 1
    },
    {
      "code": "Importance of exams",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "Very",
      "context": "Patient values regular eye exams",
      "file_id": "dr_BN1103",
      "chunk_id": 1
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "The Fairmont Clinic",
      "context": "Patient has access to a clinic for eye exams",
      "file_id": "dr_BN1103",
      "chunk_id": 1
    },
    {
      "code": "Regular check-ups",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "At least once a year",
      "context": "Patient believes in regular eye check-ups",
      "file_id": "dr_BN1103",
      "chunk_id": 1
    },
    {
      "code": "Lack of understanding about DR progression",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Patient Beliefs & Perceptions",
      "quote": "at this point, my vision is stable",
      "context": "Patient may not fully understand the risks of vision loss",
      "file_id": "dr_BN1103",
      "chunk_id": 2
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "I trust her with my life",
      "context": "Patient has a strong trust in their doctor",
      "file_id": "dr_BN1103",
      "chunk_id": 2
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "whenever I had a blood vessel bust in my eye, I couldn't see out of it, and she was able to get me right in",
      "context": "Patient feels heard and helped by their doctor",
      "file_id": "dr_BN1103",
      "chunk_id": 2
    },
    {
      "code": "Health education programs",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Patient Empowerment",
      "quote": "Just a better, , view of the eye",
      "context": "Patient has some understanding of the importance of eye exams",
      "file_id": "dr_BN1103",
      "chunk_id": 2
    },
    {
      "code": "Risk of vision loss",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Patient Beliefs & Perceptions",
      "quote": "Of course, there's always the risk of losing my vision",
      "context": "Patient is aware of the potential risks of not managing their diabetes",
      "file_id": "dr_BN1103",
      "chunk_id": 2
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I trust her with my life",
      "context": "Patient expresses high level of trust in doctor",
      "file_id": "dr_BN1103",
      "chunk_id": 3
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "what questions you typically ask your doctor",
      "context": "Patient actively engages with doctor through questioning",
      "file_id": "dr_BN1103",
      "chunk_id": 3
    },
    {
      "code": "Health education programs",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "when will the next injection be, or will I be able to fully see again?",
      "context": "Patient seeks information about treatment and prognosis",
      "file_id": "dr_BN1103",
      "chunk_id": 3
    },
    {
      "code": "Family history awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "My mom had it, my dad had it, my brother has it",
      "context": "Patient is aware of family history of diabetes",
      "file_id": "dr_BN1103",
      "chunk_id": 3
    },
    {
      "code": "Family history awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "My mom had it, my dad had it, my brother has it.",
      "context": "Patient aware of family diabetes history",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "it was scary at first",
      "context": "Patient initially fearful of diagnosis",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "she was able to get me right in because she was worried about it as well",
      "context": "Patient values provider's concern and prompt attention",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Healthcare system support",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "she was able to get me right in",
      "context": "Patient appreciates timely access to healthcare services",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Perceived importance of follow-ups",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "just knowing that we're trying to stay on top of things",
      "context": "Patient understands value of regular follow-ups",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Self-management motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "just knowing that I know what I have to do",
      "context": "Patient motivated to manage condition through regular appointments",
      "file_id": "dr_BN1103",
      "chunk_id": 4
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Long wait times",
      "quote": "I think the wait times are a little long sometimes, but.",
      "context": "Patient experiences long wait times at the clinic",
      "file_id": "dr_BN1103",
      "chunk_id": 5
    },
    {
      "code": "Lack of updates",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "at least, leave or give people updates-- on how long they'll be sitting in there.",
      "context": "Patient suggests providing updates to improve experience",
      "file_id": "dr_BN1103",
      "chunk_id": 5
    },
    {
      "code": "Transportation issues",
      "category": "BARRIER - SDOH",
      "subcategory": "Transportation issues",
      "quote": "Driving at night is the biggest challenge.",
      "context": "Patient faces challenges with driving at night",
      "file_id": "dr_BN1103",
      "chunk_id": 5
    },
    {
      "code": "Accessible provider",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "she was able to get me right in because she was worried about it as well.",
      "context": "Patient appreciates provider's prompt attention",
      "file_id": "dr_BN1103",
      "chunk_id": 5
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "how long they'll be sitting in there",
      "context": "Patient is concerned about waiting time at the clinic",
      "file_id": "dr_BN1103",
      "chunk_id": 6
    },
    {
      "code": "Lack of updates",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "leave or give people updates",
      "context": "Patient suggests providing updates to improve experience",
      "file_id": "dr_BN1103",
      "chunk_id": 6
    },
    {
      "code": "Social support networks",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Family. S1: 07:46 Family, okay.",
      "context": "Patient has a support system in their family",
      "file_id": "dr_BN1103",
      "chunk_id": 6
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "getting, glaucoma or even kidney disease",
      "context": "Patient fears potential complications of diabetes",
      "file_id": "dr_BN1103",
      "chunk_id": 6
    },
    {
      "code": "Fear of complications",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "being a diabetic, you're always worried about getting, , glaucoma or even kidney disease",
      "context": "Patient expresses fear of diabetes-related complications",
      "file_id": "dr_BN1103",
      "chunk_id": 7
    },
    {
      "code": "Social support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "they always wanna go to appointments with me, or they'll have questions that maybe I didn't think of",
      "context": "Patient receives support from family/friends",
      "file_id": "dr_BN1103",
      "chunk_id": 7
    },
    {
      "code": "Accessible provider communication",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I always reach out on MyChart",
      "context": "Patient uses online portal to communicate with provider",
      "file_id": "dr_BN1103",
      "chunk_id": 7
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "MyChart is, , a good point of access for you to speak with your-- with your provider",
      "context": "Patient values online communication with provider",
      "file_id": "dr_BN1103",
      "chunk_id": 7
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "I participated in a diabetes education class",
      "context": "Patient received diabetes education",
      "file_id": "dr_BN1103",
      "chunk_id": 7
    },
    {
      "code": "Connection issues",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "there's no signal or low signal, , , connection issues",
      "context": "Patient mentions potential technical barriers to telemedicine",
      "file_id": "dr_BN1103",
      "chunk_id": 8
    },
    {
      "code": "Telehealth options",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Telehealth options",
      "quote": "I actually this. S1: 09:48 You telemedicine? Okay. S2: 09:49 Mm-hmm.",
      "context": "Patient expresses comfort with using telemedicine for follow-ups",
      "file_id": "dr_BN1103",
      "chunk_id": 8
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Very good",
      "context": "Patient describes interactions with eye doctor as very good",
      "file_id": "dr_BN1103",
      "chunk_id": 8
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "carb counting",
      "context": "Patient mentions attending a class on carb counting, indicating health education",
      "file_id": "dr_BN1103",
      "chunk_id": 8
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I'm comfortable with her",
      "context": "Patient feels at ease with their eye doctor",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "She'll normally tell me what she thinks is best or gimme options and let me choose from there",
      "context": "Patient's eye doctor communicates clearly and involves patient in decision-making",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "She respects me",
      "context": "Patient feels respected by their eye doctor",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "Shared decision-making",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Shared decision-making",
      "quote": "let me choose from there",
      "context": "Patient is involved in making decisions about their eye care",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "No rushing communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Poor communication",
      "quote": "I don't think she rushes",
      "context": "Patient's eye doctor takes time to communicate effectively",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "Clear explanations",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "She's good at explaining",
      "context": "Patient's eye doctor explains results and recommendations clearly",
      "file_id": "dr_BN1103",
      "chunk_id": 9
    },
    {
      "code": "Provider Empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "she explained, yeah, my pressure was high in the eye, and what we could do to lower that",
      "context": "Patient feels understood by provider",
      "file_id": "dr_BN1103",
      "chunk_id": 10
    },
    {
      "code": "Positive Patient-Provider Relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "No, she respects me",
      "context": "Patient feels respected by provider",
      "file_id": "dr_BN1103",
      "chunk_id": 10
    },
    {
      "code": "Effective Communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "she explained, yeah, my pressure was high in the eye, and what we could do to lower that",
      "context": "Provider clearly explains patient's condition",
      "file_id": "dr_BN1103",
      "chunk_id": 10
    }
  ]
}