Bert,
Not to pick your nose here but...Next time you get such an "been to the mountain and seen the light" kind of moment or insight; please start the thread on the wish list or problems.
Better yet, Vinny if you are listening is there a way for you as an big cheese to move things like this from one major heading to the other? This looks like a great place for such a thing. And Bert's right that we should try and keep all the banter back and forth on one single growing thread. Otherwise we'll lose track of where we are were, where we have come from, and where we are going. That can really mess up a good thread.
And Dx is the only thing that makes sense except for the messages that we save from phonecalls and the like. The note can have the chief complaint, that is what it is for. But the major title or heading of any one visit should be the doctor's call, and probably 90% of the time that should be the Dx.