I am right with you on this one, and came to AC from exactly the same path that you did with a homebrew EHR. I find that AC was not all that compatible with my previous POMR approach to charting. Two members of our group do pretty much what you do, but I reserve the PMH block for things that are inactive and closed problems (like old surgeries). I changed my charting method so I just let the problem list populate with the diagnosis code for billing, then in the plan section do a rather extensive narrative summary of what I'm thinking and planning above the list of orders and prescription refills. This would never work if your hope is to have the chart note all done when you leave the exam room, but I don't try for that anyway. I need my chart note to remind me what I was thinking and planning when I saw the patient, and not just what I ordered or prescribed.
If you view AC a lot like your previous homebrew program, you can look at it as just a set of data fields, and put whatever you want in any field. We cannot change the names of the fields at this time, unfortunately, but that has been on the wish list as a reasonable priority. Remember, this is YOUR note and has to serve YOUR purposes.
