PSS AntiMicrobial

RIZIV/INAMI PSS (Prescription Search Support) AntiMicrobial Test Atelier - 17&18 Sep 2025

• Objectives:

• Connect to the PSS platform Antimicrobial
• get started with the web components

• This test atelier is open for healthcare software providers from the first line (general practitioners & specialists, dentists, midwives). Second line software providers are not in scope, but welcome to test if they wish.
• Important to know : please make sure to acquire a client ID (from eHealth) to be able to integrate the web component or PSS FHIR API. How to do this is documented in the PSS Integration Guide (v13May2025).

• Lead: Pieter Steyaert, 0474 800 890
• For questions on support: see contact in PSS Integration Guide
• For demo Webcomponents in Sandbox environment: on demand by email to Pieter Steyaert

• Test scenarios: - All json files are available here

• Scenario 1: Dirk, a 77-year-old man who is a regular patient and known to have swallowing difficulties, presents with cough, fever, dyspnea, and chest discomfort. Based on the clinical history and examination, the working diagnosis is aspiration pneumonia. The physician considers prescribing Augmentin (Amoxicillin with clavulanic acid).
• Scenario 2: Ilse, a 35-year-old pregnant woman who is breastfeeding, comes to consultation after self-treating with Azithromycin for two days, based on information she had read online. She complains of high fever (39.5°C), dry cough, shortness of breath, and chest pain, which worsens when coughing or breathing. She does not feel better on her current medication. The working diagnosis is adult pneumonia, but the chosen antibiotic is inappropriate. The physician notes that she still appears in good condition and considers switching treatment to Amoxicillin, which would be more suitable.
• Scenario 3: A year later, Ilse, now 36 and still breastfeeding, presents again with a dry cough, shortness of breath, and chest pain that worsens on coughing or breathing. She is not improving with her current medication. The physician again suspects adult pneumonia and concludes that the medication taken is incorrect. As in the previous episode, Amoxicillin is regarded as the appropriate treatment, since the patient remains clinically stable.
• Scenario 4: Jean-Eudes Delacomta, a 62-year-old man with immunodepression and a known penicillin allergy, presents with tingling and burning throat pain, described as “knife-like,” and difficulty swallowing. These symptoms point to a severe throat infection. The working diagnosis is acute sore throat. The physician initially thinks of prescribing Augmentin (Amoxicillin), but this is contraindicated because of the penicillin allergy. Instead, Azithromycin is suggested as the safer alternative.
• Scenario 5: A 7-year-old child presents with a stuffy nose, cough, and wheezing. The clinical impression is bronchiolitis. As this condition is usually viral, drug treatment is considered unnecessary, and supportive care is advised.
• Scenario 6: a 10-year-old girl presents with frequent urination and urgency but no fever and a generally healthy appearance. The diagnosis is acute cystitis. Although Nitrofurantoin was initially prescribed, the results of the antibiogram indicate that it is not effective in this case. A new prescription with a more appropriate antibiotic is therefore required.

• Available documentation

• on eHealth website:

• API, see here
• published FHIR implementation guide

• on Smals website: see here containing

• PSS Integration Guide (v13May2025)
• Cookbook FHIR API (incl front-end)
• Cookbook Webcomponents

• on Smals docker environment: web components PSS-AMB

• On RIZIV/INAMI website: all info on the project

• registration criteria (Excel)
• for questions on the registration, contact healthcare-registration@smals.be

• On eHealth FHIR test server

• registration for FHIR test cases, see form here
• Testplan PSSa: id's 104-105, 107-108, 110-114, 151-152 on FHIR Test Server
• detailed information on the FHIR tests and procedure