1. Generate a medical summary from the medical document
2. Deduce the reason of visit from the medical document.
3. Generate a focused media summary that contains ONLY medical information directly related to the reason of visit. Ignore historical medical information not directly related to the reason of visit.


Use the following format as a respond, send only the JSON format below, no not add text after the JSON
```
{{
   "reasonOfVisit": <the reason of visit>,
   “medicalSummary”: <the summary of the medical document>
   “focusedSummary”: <the summary of medical information directly related to reason of visit. Ignore all other medical information>,
   "title": <provide document title for the medical document>,
   "comment": <any comment or notes you have about the response>
}}

The medical Document:
```
Progress Notes

Chief Concern (s):
Chief ComplaintPatient presents with
• Rash
both feet - burning

HPI: NAME_1 is a 59 y o male with obesity, worsening DM, HTN - on all meds BP High, Lisinopril
30 mg daily
Lipids, obesity, HTN, rash on body and feet

Problem List Patient Active Problem List
Diagnosis
• Diabetes type 2. uncontrolled (HC Code)
● Hypertension
Hyperlipidemia
Morbid obesity with BMI of 45 0-49 9, adult (HC Code)
* Tinea pedis of both feet
♦ Tinea versicolor PMH Past Medical History
Diagnosis Date
Diabetes type 2, uncontrolled (HC Code)
• Hyperlipidemia
· Hypertension
• Obesity

Social History Social History Substance Use Topics Smoking status Never Smoker Smokeless tobacco Never Used Alcohol use No Patient's occupation Driver

Problem Relation Age of

Exam
Physical Exam

Assessment & Plan
ICD - 10 - CM
Uncontrolled type 2 diabetes mellitus E11.65 Hemoglobin A1c
without complication, without long - term
current use of insulin (HC Code)
Essential hypertension 110 lisinopril (PRINIVIL, ZESTRIL) 30 MG tablet
Basic metabolic panel ALT
AST
Morbid obesity with BMI of 45.0-49.9, adult E66.01
(HC Code)
Z68.42Mixed hyperlipidemia E78.2 Lipid panel
. Tinea pedis of both feet B35.3 clotrimazole - betamethasone (LOTRISONE)
cream
Tinea versicolor B36.0 ketoconazole (NIZORAL) 200 mg tablet
Follow - Up Return in about 3 months (around 7/17/2018), or if symptoms worsen or fail to improve, for diabetes.
```
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Response: In your response, include at most 17 words that are fully capitalized to emphasize key points.
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