{
  "file_id": "dr_WL1011",
  "total_codes": 84,
  "codes": [
    {
      "code": "Lack of mention",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "Just--",
      "context": "Patient seems to lack detailed understanding of their diabetes care",
      "file_id": "dr_WL1011",
      "chunk_id": 0
    },
    {
      "code": "Health monitoring",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "Trying to keep my sugar low",
      "context": "Patient prioritizes health monitoring",
      "file_id": "dr_WL1011",
      "chunk_id": 0
    },
    {
      "code": "Access to technology",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate resources",
      "quote": "They gave me a Dexcom 7",
      "context": "Patient has access to technology for health monitoring",
      "file_id": "dr_WL1011",
      "chunk_id": 0
    },
    {
      "code": "Self management",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "I take four shots a day",
      "context": "Patient engages in self-management activities",
      "file_id": "dr_WL1011",
      "chunk_id": 0
    },
    {
      "code": "Equipment issues",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor device functionality",
      "quote": "once in a while it will not read",
      "context": "Patient experiences technical problems with Dexcom 7",
      "file_id": "dr_WL1011",
      "chunk_id": 1
    },
    {
      "code": "Device malfunction",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Lack of continuity of care",
      "quote": "wouldn't recognize",
      "context": "Dexcom 7 sensor fails to function properly",
      "file_id": "dr_WL1011",
      "chunk_id": 1
    },
    {
      "code": "Frustration with devices",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "So that's the biggest problem with the Dexcom is-- the monitors",
      "context": "Patient expresses frustration with Dexcom 7",
      "file_id": "dr_WL1011",
      "chunk_id": 1
    },
    {
      "code": "Lack of awareness",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I didn't know it was gone",
      "context": "Patient unaware of vision loss in right eye",
      "file_id": "dr_WL1011",
      "chunk_id": 2
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now'",
      "quote": "because, I can see with my left eye",
      "context": "Patient feels no need to address right eye issue due to adequate vision in left eye",
      "file_id": "dr_WL1011",
      "chunk_id": 2
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I didn't know it was gone-- because, , I can see with my left eye",
      "context": "Patient unaware of vision loss in one eye",
      "file_id": "dr_WL1011",
      "chunk_id": 3
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "She didn't say a thing. Just -- gone",
      "context": "Healthcare provider did not communicate effectively",
      "file_id": "dr_WL1011",
      "chunk_id": 3
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "He says, 'Well, she said she had a high reading, so let me check to see if she was right.'",
      "context": "Patient feels doctor did not clearly explain their condition",
      "file_id": "dr_WL1011",
      "chunk_id": 4
    },
    {
      "code": "Lack of patient-provider trust",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "He says, 'Yep. She was right.'",
      "context": "Patient seems to be questioning doctor's expertise",
      "file_id": "dr_WL1011",
      "chunk_id": 4
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "Went back the next morning at 8:30.",
      "context": "Patient had easy access to provider for follow-up appointment",
      "file_id": "dr_WL1011",
      "chunk_id": 4
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider Relationship",
      "quote": "He says, 'Go home. Get back here 8:30 tomorrow morning, and we'll see if the pressure went down.'",
      "context": "Doctor clearly explained instructions to patient",
      "file_id": "dr_WL1011",
      "chunk_id": 4
    },
    {
      "code": "Provider explained risks",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "They told me that I needed to keep my sugar down.",
      "context": "Patient reports doctor discussed diabetes impact on eyes",
      "file_id": "dr_WL1011",
      "chunk_id": 5
    },
    {
      "code": "Provider prescribed treatment",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "They put me on eye drops.",
      "context": "Patient received medical treatment for eye issue",
      "file_id": "dr_WL1011",
      "chunk_id": 5
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "They come and get me, and I check in out front",
      "context": "Patient describes ease of access to care",
      "file_id": "dr_WL1011",
      "chunk_id": 6
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "put a-- t-talk to me and ask me how-- if I'm-- have any problems",
      "context": "Patient reports provider initiates conversation about concerns",
      "file_id": "dr_WL1011",
      "chunk_id": 6
    },
    {
      "code": "Reminder systems not mentioned",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Appointment scheduling difficulties",
      "quote": "None",
      "context": "Patient does not mention receiving reminders for appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 6
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "And he says, 'Everything's fine. It looks good.'",
      "context": "Patient receives reassuring communication from doctor",
      "file_id": "dr_WL1011",
      "chunk_id": 7
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "And he says, 'Everything's fine. It looks good.'",
      "context": "Patient receives clear information from doctor",
      "file_id": "dr_WL1011",
      "chunk_id": 7
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "And then they come and get me and put me in a room, and the doctor comes in and talks to me.",
      "context": "Patient has access to healthcare provider",
      "file_id": "dr_WL1011",
      "chunk_id": 7
    },
    {
      "code": "No perceived urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "'I can see fine now' (no perceived urgency)",
      "quote": "And he says, 'Everything's fine. It looks good.'",
      "context": "Patient may not feel urgent need for follow-up due to positive diagnosis",
      "file_id": "dr_WL1011",
      "chunk_id": 7
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "there's a lady here that takes care of all the VAs",
      "context": "Patient has access to a dedicated VA staff member for scheduling",
      "file_id": "dr_WL1011",
      "chunk_id": 8
    },
    {
      "code": "Reminder systems",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Reminder systems",
      "quote": "she'll call me and say, in a month or so and say, 'Your next appointment is at such and such a date, such and such a time'",
      "context": "Patient receives reminders for upcoming appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 8
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "He's been here every time I've been here",
      "context": "Patient has a consistent and reliable provider",
      "file_id": "dr_WL1011",
      "chunk_id": 8
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "a couple times I've come from my appointment, and I've had to wait and wait and wait",
      "context": "Patient experiences long wait times at appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 9
    },
    {
      "code": "Poor communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "And he says, 'I can't do anything about it.'",
      "context": "Patient feels doctor is unhelpful in addressing wait time concerns",
      "file_id": "dr_WL1011",
      "chunk_id": 9
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "He's been here every time I've been here",
      "context": "Patient appreciates consistent provider availability",
      "file_id": "dr_WL1011",
      "chunk_id": 9
    },
    {
      "code": "Reminder systems",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Healthcare System Support",
      "quote": "she'll call me and say, in a month or so and say, 'Your next appointment is at such and such a date, such and such a time'",
      "context": "Patient benefits from reminder calls for appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 9
    },
    {
      "code": "Long wait times",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "back-to-back",
      "context": "Patient experiences long wait times due to back-to-back appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 10
    },
    {
      "code": "Lack of provider empathy",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Provider/System Issues",
      "quote": "I talked to the doctor about it, and he says, 'I can't do anything about it'",
      "context": "Patient feels dismissed by provider",
      "file_id": "dr_WL1011",
      "chunk_id": 10
    },
    {
      "code": "Transportation issues",
      "category": "BARRIER - SDOH",
      "subcategory": "Transportation issues",
      "quote": "I'm 20-- 22 miles",
      "context": "Patient travels a distance for appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 10
    },
    {
      "code": "Time constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "taking up your day",
      "context": "Patient's daily schedule is affected by appointments",
      "file_id": "dr_WL1011",
      "chunk_id": 10
    },
    {
      "code": "Lack of access",
      "category": "BARRIER - SDOH",
      "subcategory": "Lack of access to healthcare",
      "quote": "we don't have ca-cable where we live",
      "context": "Patient mentions lack of services in their area",
      "file_id": "dr_WL1011",
      "chunk_id": 11
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "If you don't take care of your eyes, you're not go-- you're gonna go blind.",
      "context": "Patient is fearful of going blind due to diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 12
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "All I know is it, it gets worse.",
      "context": "Patient lacks knowledge about diabetic retinopathy",
      "file_id": "dr_WL1011",
      "chunk_id": 13
    },
    {
      "code": "Poor explanation",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "No. S1: 09:29 No? You're not s-- do you-- do anything about it?",
      "context": "Provider did not explain diabetic retinopathy",
      "file_id": "dr_WL1011",
      "chunk_id": 13
    },
    {
      "code": "Comfortable communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Fine. S1: 09:43 Very comfortable? S2: 09:44 I Dr. G.",
      "context": "Patient feels comfortable talking to doctor",
      "file_id": "dr_WL1011",
      "chunk_id": 13
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "Oh, yeah",
      "context": "Patient feels doctor was receptive to concerns",
      "file_id": "dr_WL1011",
      "chunk_id": 14
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "he said, 'You got floaters.' I says, 'No. I don't have anything floating.'",
      "context": "Patient and doctor discussed symptoms",
      "file_id": "dr_WL1011",
      "chunk_id": 14
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I, I don't have any problem with, with him",
      "context": "Patient has a good relationship with doctor",
      "file_id": "dr_WL1011",
      "chunk_id": 14
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "I'm content with the way he does things",
      "context": "Patient expresses satisfaction with doctor",
      "file_id": "dr_WL1011",
      "chunk_id": 15
    },
    {
      "code": "Perceived severity of diabetes",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "It's very serious",
      "context": "Patient understands the seriousness of diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 15
    },
    {
      "code": "Trust in provider recommendations",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "if I need-- he says if I need the shots, they'll go back to giving me the shots",
      "context": "Patient trusts doctor's treatment plan",
      "file_id": "dr_WL1011",
      "chunk_id": 15
    },
    {
      "code": "Family history awareness",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health literacy",
      "quote": "out of the 12, so far that I know of, six of us have diabetes",
      "context": "Patient is aware of family history of diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 15
    },
    {
      "code": "Adherence motivation",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Diabetes self-management support",
      "quote": "If I don't pay attention to the doctor, it's probably very s-- very possible",
      "context": "Patient is motivated to follow doctor's advice",
      "file_id": "dr_WL1011",
      "chunk_id": 15
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "If I don't pay attention to the doctor, it's probably very possible",
      "context": "Patient lacks understanding of diabetes impact on vision",
      "file_id": "dr_WL1011",
      "chunk_id": 16
    },
    {
      "code": "Provider reassurance",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "But he says, 'Today everything's fine'",
      "context": "Patient feels reassured by provider's words",
      "file_id": "dr_WL1011",
      "chunk_id": 16
    },
    {
      "code": "Trust in provider",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "if I need-- he says if I need the shots, they'll go back to giving me the shots",
      "context": "Patient trusts provider's treatment decisions",
      "file_id": "dr_WL1011",
      "chunk_id": 16
    },
    {
      "code": "Fear of vision loss",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "If I don't pay attention to the doctor, it's probably very possible",
      "context": "Patient fears losing vision due to diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 16
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "I just can't tell how close I am",
      "context": "Patient unsure about their condition",
      "file_id": "dr_WL1011",
      "chunk_id": 17
    },
    {
      "code": "Fear of diagnosis",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "I lost my right eye",
      "context": "Patient experienced a negative outcome",
      "file_id": "dr_WL1011",
      "chunk_id": 17
    },
    {
      "code": "Access to healthcare",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate access to care",
      "quote": "They took those out",
      "context": "Patient received necessary treatment",
      "file_id": "dr_WL1011",
      "chunk_id": 17
    },
    {
      "code": "Effective treatment",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "They took the other-- right one out, and then I got the left one done two years ago",
      "context": "Patient received timely and effective care",
      "file_id": "dr_WL1011",
      "chunk_id": 17
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "I don't wanna have to pay for it",
      "context": "Patient prefers VA care to avoid paying",
      "file_id": "dr_WL1011",
      "chunk_id": 18
    },
    {
      "code": "Adequate insurance coverage",
      "category": "FACILITATOR - Resources & Access",
      "subcategory": "Adequate insurance coverage",
      "quote": "since I'm a veteran, I go to the VA for-- everything that I can go to the VA for",
      "context": "Patient utilizes VA services due to coverage",
      "file_id": "dr_WL1011",
      "chunk_id": 18
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "I don't wanna have to pay for it",
      "context": "Patient avoids paying for healthcare services",
      "file_id": "dr_WL1011",
      "chunk_id": 19
    },
    {
      "code": "Cost issues",
      "category": "BARRIER - Cost-Related Barriers",
      "subcategory": "Out-of-pocket costs",
      "quote": "The cost",
      "context": "Patient is discouraged by high costs of healthcare",
      "file_id": "dr_WL1011",
      "chunk_id": 19
    },
    {
      "code": "Expensive treatments",
      "category": "BARRIER - Cost-Related Barriers",
      "subcategory": "Expensive treatments/surgery",
      "quote": "it just seems to keep going up and up and up and up",
      "context": "Patient is concerned about rising healthcare costs",
      "file_id": "dr_WL1011",
      "chunk_id": 19
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "I go to the VA for everything that I can",
      "context": "Patient has access to preferred healthcare provider",
      "file_id": "dr_WL1011",
      "chunk_id": 19
    },
    {
      "code": "Positive patient-provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "if I-- if I had one that wasn't-- I wasn't happy with, I'd be saying, 'I need another doctor.'",
      "context": "Patient values a good relationship with their provider",
      "file_id": "dr_WL1011",
      "chunk_id": 20
    },
    {
      "code": "Effective communication",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Just pay attention to what the doctor tells you.",
      "context": "Patient emphasizes importance of clear communication from providers",
      "file_id": "dr_WL1011",
      "chunk_id": 20
    },
    {
      "code": "Lack of health literacy",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Education/health literacy barriers",
      "quote": "I says, 'I'm 35 years old. Ain't nobody telling me what I can eat and what I can't eat.'",
      "context": "Patient resists dietary advice due to lack of understanding",
      "file_id": "dr_WL1011",
      "chunk_id": 21
    },
    {
      "code": "Financial constraints",
      "category": "BARRIER - SDOH",
      "subcategory": "Financial constraints",
      "quote": "we had to scrimp and pinch",
      "context": "Patient experienced financial difficulties in the past",
      "file_id": "dr_WL1011",
      "chunk_id": 21
    },
    {
      "code": "Lack of understanding about DR progression",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "If I'd have listened in '94, I'd have still had my left foot. I'd have had my right eye.",
      "context": "Patient realizes too late the consequences of not managing diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 21
    },
    {
      "code": "Patient empowerment",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "If I'd have listened in '94",
      "context": "Patient acknowledges the importance of health education and advice",
      "file_id": "dr_WL1011",
      "chunk_id": 21
    },
    {
      "code": "Lack of understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "If I'd have listened in '94, I'd have still had my left foot. I'd have had my right eye.",
      "context": "Patient expresses regret over not taking care of diabetes earlier",
      "file_id": "dr_WL1011",
      "chunk_id": 22
    },
    {
      "code": "Social support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "She tries the best she can.",
      "context": "Patient's wife helps with diabetes care",
      "file_id": "dr_WL1011",
      "chunk_id": 22
    },
    {
      "code": "Patient stubbornness",
      "category": "BARRIER - Emotional/Psychological",
      "subcategory": "Feeling overwhelmed",
      "quote": "I'm still stubborn. She'll fix me something to eat, and if I don't like it, I'll eat a little bit of it, but I won't--",
      "context": "Patient admits to being stubborn about food choices",
      "file_id": "dr_WL1011",
      "chunk_id": 22
    },
    {
      "code": "Emotional support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "Oh, yeah. Yeah.",
      "context": "Patient feels comfortable sharing worries and fears with wife",
      "file_id": "dr_WL1011",
      "chunk_id": 22
    },
    {
      "code": "Social Support",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Social support networks",
      "quote": "She'll fix me something to eat",
      "context": "Patient receives help from a family member",
      "file_id": "dr_WL1011",
      "chunk_id": 23
    },
    {
      "code": "Health Education",
      "category": "FACILITATOR - Patient Empowerment",
      "subcategory": "Health education programs",
      "quote": "she got on the computer and started looking up--",
      "context": "Patient's family member helps them learn about diabetes",
      "file_id": "dr_WL1011",
      "chunk_id": 23
    },
    {
      "code": "Positive Provider Relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Positive patient-provider relationship",
      "quote": "She, she knows more about diabetes than I do",
      "context": "Patient trusts and values their provider's knowledge",
      "file_id": "dr_WL1011",
      "chunk_id": 23
    },
    {
      "code": "Lack Of Understanding",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Lack of understanding about DR progression",
      "quote": "sometimes I listened, and sometimes I didn't",
      "context": "Patient may not fully understand their condition",
      "file_id": "dr_WL1011",
      "chunk_id": 23
    },
    {
      "code": "Transportation issues",
      "category": "A. BARRIERS TO FOLLOW-UP",
      "subcategory": "1. Social Determinants of Health (SDOH)",
      "quote": "No specific quote, but context implies potential issue",
      "context": "Patient has a prosthetic and mentions sweating and rubbing, potentially implying mobility or transportation challenges",
      "file_id": "dr_WL1011",
      "chunk_id": 24
    },
    {
      "code": "Lack of urgency",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "I can see fine now",
      "quote": "biggest expectation was whether I was gonna have to get another shot or not",
      "context": "Patient's expectation for care implies a lack of perceived urgency for follow-up",
      "file_id": "dr_WL1011",
      "chunk_id": 25
    },
    {
      "code": "Positive provider relationship",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Effective communication",
      "quote": "Doc come in, and he says, No. You don't need one.",
      "context": "Patient reports clear communication from provider",
      "file_id": "dr_WL1011",
      "chunk_id": 25
    },
    {
      "code": "Accessible providers",
      "category": "FACILITATOR - Healthcare System Support",
      "subcategory": "Accessible providers",
      "quote": "Doc come in, and he says, No. You don't need one.",
      "context": "Patient has access to a provider for follow-up care",
      "file_id": "dr_WL1011",
      "chunk_id": 25
    },
    {
      "code": "Clear expectations",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Shared decision-making",
      "quote": "he says, I'll see you in two months, and we'll see how it's doing then",
      "context": "Provider sets clear expectations for follow-up care",
      "file_id": "dr_WL1011",
      "chunk_id": 25
    },
    {
      "code": "Fear of treatment",
      "category": "BARRIER - Patient Beliefs & Perceptions",
      "subcategory": "Fear of diagnosis/treatment",
      "quote": "'cause they are not comfortable",
      "context": "Patient expresses discomfort with shots",
      "file_id": "dr_WL1011",
      "chunk_id": 26
    },
    {
      "code": "Provider communication",
      "category": "BARRIER - Provider/System Issues",
      "subcategory": "Poor communication",
      "quote": "And he says, 'I'll see you in two months, and we'll see how it's doing then.'",
      "context": "Patient reports provider's communication about follow-up",
      "file_id": "dr_WL1011",
      "chunk_id": 26
    },
    {
      "code": "Provider empathy",
      "category": "FACILITATOR - Provider Relationship",
      "subcategory": "Provider empathy",
      "quote": "And I said, 'I'd rather not--'",
      "context": "Patient reports provider's response to their concerns",
      "file_id": "dr_WL1011",
      "chunk_id": 26
    }
  ]
}