{
  "file_id": "dr_DT0331",
  "total_codes": 91,
  "codes": [
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "she just keeps an eye on it",
      "context": "Patient lacks clear understanding of diabetes management",
      "file_id": "dr_DT0331",
      "chunk_id": 0
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "to watch what she's eating",
      "context": "Doctor provides health education on diet",
      "file_id": "dr_DT0331",
      "chunk_id": 0
    },
    {
      "code": "Self management",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "she tries to walk",
      "context": "Patient engages in physical activity for diabetes management",
      "file_id": "dr_DT0331",
      "chunk_id": 0
    },
    {
      "code": "Health monitoring",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "checking sugar",
      "context": "Patient monitors blood sugar levels",
      "file_id": "dr_DT0331",
      "chunk_id": 0
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "bad",
      "context": "Patient lacks clear understanding of diabetes effects on eyes",
      "file_id": "dr_DT0331",
      "chunk_id": 1
    },
    {
      "code": "Fear of treatment",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "needles in the eye",
      "context": "Patient expresses fear or discomfort with treatment methods",
      "file_id": "dr_DT0331",
      "chunk_id": 1
    },
    {
      "code": "Provider support",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "they had to give her needles in the eye",
      "context": "Patient receives medical treatment and care from providers",
      "file_id": "dr_DT0331",
      "chunk_id": 1
    },
    {
      "code": "Follow-up appointments",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Reminder systems",
      "quote": "she got to come back in two weeks and have laser again",
      "context": "Patient has scheduled follow-up appointments for ongoing care",
      "file_id": "dr_DT0331",
      "chunk_id": 1
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "they just said that if she doesn't go through the process-- she can go blind",
      "context": "Patient lacks detailed information about diabetes effects on eyesight",
      "file_id": "dr_DT0331",
      "chunk_id": 2
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "they just said to-- she has to watch what she's eating and exercise",
      "context": "Provider's advice seems vague and lacks specific guidance",
      "file_id": "dr_DT0331",
      "chunk_id": 2
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "she can go blind if she didn't, -- take care of it",
      "context": "Patient is aware of potential severe consequences but lacks detailed understanding",
      "file_id": "dr_DT0331",
      "chunk_id": 2
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "they just said to-- she has to watch what she's eating and exercise",
      "context": "Provider shows concern for patient's well-being but communication is limited",
      "file_id": "dr_DT0331",
      "chunk_id": 2
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "they just said to-- she has to watch what she's eating and exercise",
      "context": "Patient receives basic health advice but may need more comprehensive education",
      "file_id": "dr_DT0331",
      "chunk_id": 2
    },
    {
      "code": "Lack of education",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Education/health literacy barriers",
      "quote": "they just said that if she doesn't go through the process-- that she can go blind",
      "context": "Patient lacks understanding of diabetes effects on eyesight",
      "file_id": "dr_DT0331",
      "chunk_id": 3
    },
    {
      "code": "Provider passed away",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of continuity of care",
      "quote": "he passed away",
      "context": "Patient's provider is no longer available",
      "file_id": "dr_DT0331",
      "chunk_id": 3
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "he just-- he tells her to watch what she's eating",
      "context": "Provider's advice is unclear or incomplete",
      "file_id": "dr_DT0331",
      "chunk_id": 3
    },
    {
      "code": "Accessible provider",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "she's been seeing Dr. C in Elkins",
      "context": "Patient has found a new provider",
      "file_id": "dr_DT0331",
      "chunk_id": 3
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "Dr. C, he's a good doctor",
      "context": "Patient expresses trust in their doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 4
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Dr. C, he's a good doctor",
      "context": "Patient has access to a trusted provider",
      "file_id": "dr_DT0331",
      "chunk_id": 4
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "But she does it more than that because she's diabetic",
      "context": "Patient lacks clear understanding of diabetes and eye exam frequency",
      "file_id": "dr_DT0331",
      "chunk_id": 5
    },
    {
      "code": "Discomfort during procedure",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "it was, , stinging a little bit when they did the drops",
      "context": "Patient experienced discomfort during eye exam",
      "file_id": "dr_DT0331",
      "chunk_id": 5
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Oh, yes, yes. They, , sting",
      "context": "Provider acknowledges and explains patient's discomfort",
      "file_id": "dr_DT0331",
      "chunk_id": 5
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "When was your last dilated eye exam? S2: 03:28 Today",
      "context": "Patient has access to regular eye exams",
      "file_id": "dr_DT0331",
      "chunk_id": 5
    },
    {
      "code": "Lack of provider guidance",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "They just said just keep coming back until they can get her better",
      "context": "Patient feels lack of clear instructions from doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 6
    },
    {
      "code": "Scheduling difficulties",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "It's hard on me because I got to juggle between me and her",
      "context": "Patient struggles with finding matching availability",
      "file_id": "dr_DT0331",
      "chunk_id": 6
    },
    {
      "code": "Need for more availability",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "Yes. More, more availability?",
      "context": "Patient suggests more doctor availability would be helpful",
      "file_id": "dr_DT0331",
      "chunk_id": 6
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "it's just the drive. We have a four-hour drive up and back.",
      "context": "Patient faces long distance to travel for eye care",
      "file_id": "dr_DT0331",
      "chunk_id": 7
    },
    {
      "code": "Telehealth options",
      "category": "B. FACILITATORS TO FOLLOW-UP",
      "subcategory": "1. Healthcare System Support",
      "quote": "Yes. virtual?",
      "context": "Patient expresses interest in telehealth for convenience",
      "file_id": "dr_DT0331",
      "chunk_id": 7
    },
    {
      "code": "Telehealth options",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Telehealth options",
      "quote": "Yes. virtual?",
      "context": "Patient finds telehealth beneficial",
      "file_id": "dr_DT0331",
      "chunk_id": 8
    },
    {
      "code": "Distance barriers",
      "category": "BARRIER - SDOH",
      "subcategory": "Transportation issues",
      "quote": "It's just the dis-distance right now",
      "context": "Patient cites distance as a challenge",
      "file_id": "dr_DT0331",
      "chunk_id": 8
    },
    {
      "code": "Accessibility",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate access to care",
      "quote": "If it wasn't too far, I would think about maybe coming",
      "context": "Patient prefers closer location for follow-up",
      "file_id": "dr_DT0331",
      "chunk_id": 8
    },
    {
      "code": "Convenience",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "maybe she can follow up in Buchanan because that's only 45 minutes from--",
      "context": "Patient prefers more convenient location",
      "file_id": "dr_DT0331",
      "chunk_id": 8
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "They just said if she didn't follow up and take care of it, then she could lose her eyesight",
      "context": "Patient lacks detailed information about diabetes-related vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 9
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "They just said if she didn't follow up and take care of it, then she could lose her eyesight",
      "context": "Patient may fear losing eyesight due to diabetes",
      "file_id": "dr_DT0331",
      "chunk_id": 9
    },
    {
      "code": "Provider warning",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "They just said if she didn't follow up and take care of it, then she could lose her eyesight",
      "context": "Eye doctor or diabetes doctor warned patient about risk of vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 9
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "They just said if she didn't follow up and take care of it, then she could lose her eyesight.",
      "context": "Patient lacks detailed information about diabetes-related vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 10
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "They just said if she didn't follow up and take care of it, then she could lose her eyesight.",
      "context": "Patient received limited information from doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 10
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "Oh, yeah",
      "context": "Patient feels comfortable talking to their doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 10
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Yeah, mm-hmm.",
      "context": "Patient is able to express concerns to their doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 10
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "Oh, yeah",
      "context": "Patient feels comfortable talking to doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 11
    },
    {
      "code": "Lack of patient advocacy",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "We'll just go by what the doctor says",
      "context": "Patient does not express own needs or concerns",
      "file_id": "dr_DT0331",
      "chunk_id": 11
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Oh, yeah",
      "context": "Patient feels comfortable discussing concerns with doctor",
      "file_id": "dr_DT0331",
      "chunk_id": 11
    },
    {
      "code": "Patient concern expression",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "she just wonders-- she keeps asking if she's going to get better with her vision",
      "context": "Patient expresses concerns and asks questions",
      "file_id": "dr_DT0331",
      "chunk_id": 11
    },
    {
      "code": "Lack of self-advocacy",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "No. We'll just go by what the doctor says",
      "context": "Patient does not advocate for own needs",
      "file_id": "dr_DT0331",
      "chunk_id": 11
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "we just want to get her better to where she won't lose her eyesight",
      "context": "Patient's concern about vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "we just want to get her better to where she won't lose her eyesight",
      "context": "Patient's concern about vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "Yeah, they water a lot",
      "context": "Patient feels heard by provider",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Yeah, she's told them",
      "context": "Patient communicates with provider",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Health education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "Because we can tell, , medically how she's progressed--",
      "context": "Patient has knowledge about diabetes progression",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "I can see fine now",
      "quote": "How serious do you think diabetes can cause vision loss for you?",
      "context": "Patient's understanding of disease severity",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Diabetes distress",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Diabetes distress",
      "quote": "Oh, likely to lose it?",
      "context": "Patient's emotional response to potential vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 12
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "We're hoping it don't happen",
      "context": "Patient expresses concern about potential vision loss",
      "file_id": "dr_DT0331",
      "chunk_id": 13
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "We're hoping it don't happen",
      "context": "Patient lacks clear understanding of diabetes impact on vision",
      "file_id": "dr_DT0331",
      "chunk_id": 13
    },
    {
      "code": "Concern about health",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "That's why we're here",
      "context": "Patient is proactive about seeking care due to health concerns",
      "file_id": "dr_DT0331",
      "chunk_id": 13
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "That's why we're here",
      "context": "Patient seeks care, implying a positive relationship with provider",
      "file_id": "dr_DT0331",
      "chunk_id": 13
    },
    {
      "code": "Healthcare system support",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "That's why we're here",
      "context": "Patient has access to healthcare, facilitating follow-up appointments",
      "file_id": "dr_DT0331",
      "chunk_id": 13
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "It don't bug me too bad",
      "context": "Patient seems to downplay the severity of their condition",
      "file_id": "dr_DT0331",
      "chunk_id": 14
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "When it gets to the cobwebs",
      "context": "Patient expresses concern about worsening vision",
      "file_id": "dr_DT0331",
      "chunk_id": 14
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "just a little bit",
      "context": "Patient seems unclear about their condition",
      "file_id": "dr_DT0331",
      "chunk_id": 15
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "They didn't say",
      "context": "Patient reports lack of information from providers",
      "file_id": "dr_DT0331",
      "chunk_id": 15
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "they did tell me",
      "context": "Patient reports receiving information from providers",
      "file_id": "dr_DT0331",
      "chunk_id": 15
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "It's the distance",
      "context": "Patient mentions distance as a challenge for follow-ups",
      "file_id": "dr_DT0331",
      "chunk_id": 17
    },
    {
      "code": "Time-consuming",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "3. Provider/System Issues",
      "quote": "it's just time-consuming",
      "context": "Patient finds the process of getting follow-ups time-consuming",
      "file_id": "dr_DT0331",
      "chunk_id": 17
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "It's the distance, and it's just time-consuming.",
      "context": "Patient finds traveling for follow-ups to be time-consuming due to distance",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Time-consuming appointments",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "3. Provider/System Issues",
      "quote": "It's just been a trip and a half.",
      "context": "Patient describes follow-up experience as overly burdensome",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Distance barriers",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "we don't have to travel four hours out of the day to get this done.",
      "context": "Patient highlights the significant distance traveled for follow-ups",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Accessible technology",
      "category": "B. FACILITATORS TO FOLLOW-UP",
      "subcategory": "1. Healthcare System Support",
      "quote": "Yes. MyChart?",
      "context": "Patient finds MyChart to be a helpful resource for managing healthcare",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Lack of resources",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "4. Cost-Related Barriers",
      "quote": "no, we do it on our own.",
      "context": "Patient lacks external support or resources for managing follow-ups",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Distance discouragement",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "It's just the distance.",
      "context": "Patient cites distance as a primary discouragement for using healthcare services",
      "file_id": "dr_DT0331",
      "chunk_id": 18
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "It's just the distance.",
      "context": "Patient mentions distance as a discouraging factor for using healthcare services",
      "file_id": "dr_DT0331",
      "chunk_id": 19
    },
    {
      "code": "Accessible providers",
      "category": "B. FACILITATORS TO FOLLOW-UP",
      "subcategory": "1. Healthcare System Support",
      "quote": "they've been w-working with her really well, so.",
      "context": "Patient mentions positive experience with healthcare providers",
      "file_id": "dr_DT0331",
      "chunk_id": 19
    },
    {
      "code": "Lack of education",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Education/health literacy barriers",
      "quote": "No, not that I know of",
      "context": "Patient lacks knowledge about diabetes and eye care",
      "file_id": "dr_DT0331",
      "chunk_id": 20
    },
    {
      "code": "No health education",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Education/health literacy barriers",
      "quote": "Never",
      "context": "Patient has not participated in diabetes education classes",
      "file_id": "dr_DT0331",
      "chunk_id": 20
    },
    {
      "code": "Limited social support",
      "category": "BARRIER - Social Determinants of Health",
      "subcategory": "Social support networks",
      "quote": "No, other than me and her",
      "context": "Patient has limited social support for diabetes and eye care",
      "file_id": "dr_DT0331",
      "chunk_id": 20
    },
    {
      "code": "Peer support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Yeah, she has a friend--that she talks to, and he's got diabetes too",
      "context": "Patient has peer support for diabetes management",
      "file_id": "dr_DT0331",
      "chunk_id": 20
    },
    {
      "code": "Family support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "we just keep an eye on her sugar",
      "context": "Patient has family support for daily diabetes care",
      "file_id": "dr_DT0331",
      "chunk_id": 20
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Yeah, she has a friend--that she talks to, and he's got diabetes too.",
      "context": "Patient has a supportive friend with similar condition",
      "file_id": "dr_DT0331",
      "chunk_id": 21
    },
    {
      "code": "Emotional Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Yeah, her sister helps with chores and medications",
      "context": "Patient has a supportive sibling for daily tasks",
      "file_id": "dr_DT0331",
      "chunk_id": 21
    },
    {
      "code": "Health Advice",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "Just me, her sister",
      "context": "Patient seeks health advice from a trusted family member",
      "file_id": "dr_DT0331",
      "chunk_id": 21
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Just me, her sister",
      "context": "Patient relies on sibling for health advice",
      "file_id": "dr_DT0331",
      "chunk_id": 22
    },
    {
      "code": "Vision Limitations",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "My eyes are",
      "context": "Patient experiences vision problems",
      "file_id": "dr_DT0331",
      "chunk_id": 22
    },
    {
      "code": "Activity Limitation",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "She don't do a whole lot other than work puzzles",
      "context": "Patient's daily activities are limited due to vision",
      "file_id": "dr_DT0331",
      "chunk_id": 22
    },
    {
      "code": "Vision Impact",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "She has to take breaks and sit down and rest her eyes",
      "context": "Patient's vision affects daily tasks",
      "file_id": "dr_DT0331",
      "chunk_id": 22
    },
    {
      "code": "Vision limitations",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "because of her vision",
      "context": "Patient's vision limits daily activities",
      "file_id": "dr_DT0331",
      "chunk_id": 23
    },
    {
      "code": "Headaches",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "it causes her to have headaches",
      "context": "Patient experiences headaches due to vision issues",
      "file_id": "dr_DT0331",
      "chunk_id": 23
    },
    {
      "code": "Positive expectations",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "it was-- it was good",
      "context": "Patient has positive expectations for eye care visit",
      "file_id": "dr_DT0331",
      "chunk_id": 23
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "they told me I couldn't put, , a damp rag on me",
      "context": "Patient receives guidance from provider",
      "file_id": "dr_DT0331",
      "chunk_id": 23
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "we're trying to get her, one of those machines",
      "context": "Patient lacks access to necessary medical equipment",
      "file_id": "dr_DT0331",
      "chunk_id": 24
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "we're working on it",
      "context": "Patient is working to obtain necessary medical equipment, implying financial difficulties",
      "file_id": "dr_DT0331",
      "chunk_id": 24
    },
    {
      "code": "Healthcare System Support",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "They're going to give",
      "context": "Patient is receiving support from healthcare providers to obtain necessary medical equipment",
      "file_id": "dr_DT0331",
      "chunk_id": 24
    },
    {
      "code": "Resources & Access",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate resources",
      "quote": "They're going to give a machine",
      "context": "Patient is receiving necessary resources and support from healthcare providers",
      "file_id": "dr_DT0331",
      "chunk_id": 24
    }
  ]
}