diff --git a/input/fsh/instances/uc53-pdf-derived.fsh b/input/fsh/instances/uc53-pdf-derived.fsh
new file mode 100644
index 0000000..188529f
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+++ b/input/fsh/instances/uc53-pdf-derived.fsh
@@ -0,0 +1,270 @@
+Instance: uc52-pdf-derived
+InstanceOf: BeDiagnosticReportDiabetes
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffb"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#4311000179106
+* category[+] = $sct#408475000
+* category[+] = $sct#394583002
+* code = $sct#439926003
+* extension[device].extension[concept].valueCodeableConcept = https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type#701010000576
+* status = #final
+* presentedForm.data = "JVBERi0xLjANCjEgMCBvYmo8PC9QYWdlcyAyIDAgUj4+ZW5kb2JqIDIgMCBvYmo8PC9LaWRzWzMgMCBSXS9Db3VudCAxPj5lbmRvYmogMyAwIG9iajw8L01lZGlhQm94WzAgMCAzIDNdPj5lbmRvYmoNCnRyYWlsZXI8PC9Sb290IDEgMCBSPj4="
+* presentedForm.contentType = #"application/pdf"
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc1)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc2)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc3)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc4)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc5)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc6)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc7)
+* result[+] = Reference(6e126868-aa6a-41ef-b7fb-3c8b690d8ffc8)
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc1
+InstanceOf: BeObservationDiabetes
+Description: "Coefficient of variation"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc1"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#778232399
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 6
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.high.value = 34
+* referenceRange.high.unit = "%"
+* referenceRange.high.code = #"%"
+* referenceRange.high.system = "http://unitsofmeasure.org"
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc2
+InstanceOf: BeObservationDiabetes
+Description: "Days sensor worn"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc2"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#757492266
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 14
+* valueQuantity.unit = "days"
+* valueQuantity.code = #"d"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.low.value = 14
+* referenceRange.low.unit = "days"
+* referenceRange.low.code = #"d"
+* referenceRange.low.system = "http://unitsofmeasure.org"
+
+
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc3
+InstanceOf: BeObservationDiabetes
+Description: "% Data Captured"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc3"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#242282937
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 96
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.low.value = 70
+* referenceRange.low.unit = "%"
+* referenceRange.low.code = #"%"
+* referenceRange.low.system = "http://unitsofmeasure.org"
+
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc4
+InstanceOf: BeObservationDiabetes
+Description: "TAR-Very high"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc4"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#124011008
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 20
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.high.value = 5
+* referenceRange.high.unit = "%"
+* referenceRange.high.code = #"%"
+* referenceRange.high.system = "http://unitsofmeasure.org"
+* referenceRange.appliesTo.text = "≥ 250 mg/dL"
+
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc5
+InstanceOf: BeObservationDiabetes
+Description: "TAR-High"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc5"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#865587343
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 23
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.high.value = 25
+* referenceRange.high.unit = "%"
+* referenceRange.high.code = #"%"
+* referenceRange.high.system = "http://unitsofmeasure.org"
+* referenceRange.appliesTo.text = "≥180 mg/dL, <250 mg/dL"
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc6
+InstanceOf: BeObservationDiabetes
+Description: "TIR"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc6"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#438565545
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 47
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.low.value = 25
+* referenceRange.low.unit = "%"
+* referenceRange.low.code = #"%"
+* referenceRange.low.system = "http://unitsofmeasure.org"
+* referenceRange.appliesTo.text = "≥70 mg/dL, <180 mg/dL"
+
+
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc7
+InstanceOf: BeObservationDiabetes
+Description: "TBR Time below range - low"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc7"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#278399267
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 4
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.high.value = 5
+* referenceRange.high.unit = "%"
+* referenceRange.high.code = #"%"
+* referenceRange.high.system = "http://unitsofmeasure.org"
+* referenceRange.appliesTo.text = "≥54 mg/dL, <70 mg/dL"
+
+
+Instance: 6e126868-aa6a-41ef-b7fb-3c8b690d8ffc8
+InstanceOf: BeObservationDiabetes
+Description: "TBR Time below range – very low"
+* identifier[UUID][+].system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes"
+* identifier[UUID][=].value = "6e126868-aa6a-41ef-b7fb-3c8b690d8ffc8"
+* extension[BeExtRecordedDate].valueDateTime = "2024-11-25"
+* effectivePeriod.start = "2024-11-11"
+* effectivePeriod.end = "2024-11-24"
+* subject.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"
+* subject.identifier.value = "80051207915"
+* extension[BeExtRecorder].valueReference.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* extension[BeExtRecorder].valueReference.identifier.value = "0403044007"
+* category[+] = $sct#439926003
+* category[+] = $sct#258090004
+* code = $sct#364527445
+* device = Reference(device)
+* status = #final
+* valueQuantity.value = 6
+* valueQuantity.unit = "%"
+* valueQuantity.code = #"%"
+* valueQuantity.system = "http://unitsofmeasure.org"
+* performer.identifier.system = "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"
+* performer.identifier.value = "0403044007"
+* referenceRange.high.value = 2
+* referenceRange.high.unit = "%"
+* referenceRange.high.code = #"%"
+* referenceRange.high.system = "http://unitsofmeasure.org"
+* referenceRange.appliesTo.text = "< 54 mg/dL"
+
+Instance: device
+InstanceOf: Device
+* type.coding.system = "https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type"
+* type.coding.code = #701010000576
+
+