Playing a MIDI note on the sound card using DirectMusic!

When using DirectMusic to send a MIDI message (using sendnotePMSG), what exactly is happening? I have to program a system where moving the joystick causes certain notes to be played, but I'm not sure if this function sends a MIDI performance message to the soundcard for output or to an external MIDI device. Can anyone help me?? I can get DirectMusic to play a file and can add effects to a file etc, but I need to actually be able to produce notes myself. Is this even possible?
Also, Ive heard a little about using .dls files. Can anyone clarify this???
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