1. Extract a concise summary from the provided medical document.
2. Determine the specific reason for the visit or pinpoint the main topics related to new findings, excluding unrelated chronic or general conditions.
3. Compile a focused medical summary (novelFindingsSummary) that includes ONLY relevant information related to the identified key topics or the purpose of the visit. Exclude any historical medical data not directly connected to these aspects.

Please ensure to provide a response in the following JSON format, without adding any text after the JSON structure.

```
{
   "medicalSummary": "<Insert the concise summary of the medical document>",
   "novelFindingsSummary": "<Insert a detailed exploration of the novel findings, disregarding unrelated medical information>",
   "title": "<Insert the title of the medical document>",
   "comment": "<Insert any comments or observations 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.
```
---
Response: The word "text" should not appear in your response.
user