{
  "lines": [
    {
      "key": "onset",
      "helpText": "When did the problem begin?",
      "resultSummary": "<b>Onset</b>: {value}",
      "fieldType": "date"
    },
    {
      "key": "location",
      "helpText": "Where is the CC located?",
      "resultSummary": "<b>Location</b>: {value}",
      "fieldType": "time"
    }
  ],
  "dataMap": {
    "onset" : null,
    "location" : null
  }
}