diff --git a/modules/smartadserverBidAdapter.js b/modules/smartadserverBidAdapter.js
index 97dd43fc5ba..8462e749b91 100644
--- a/modules/smartadserverBidAdapter.js
+++ b/modules/smartadserverBidAdapter.js
@@ -83,10 +83,11 @@ export const spec = {
           w: size[0],
           h: size[1]
         }));
-      } else if (videoMediaType && videoMediaType.context === 'instream') {
+      } else if (videoMediaType && (videoMediaType.context === 'instream' || videoMediaType.context === 'outstream')) {
         // Specific attributes for instream.
         let playerSize = videoMediaType.playerSize[0];
-        payload.isVideo = true;
+        payload.isVideo = videoMediaType.context === 'instream';
+        payload.mediaType = VIDEO;
         payload.videoData = {
           videoProtocol: bid.params.video.protocol,
           playerWidth: playerSize[0],
@@ -146,10 +147,11 @@ export const spec = {
           ttl: response.ttl
         };
 
-        if (bidRequest.isVideo) {
+        if (bidRequest.mediaType === VIDEO) {
           bidResponse.mediaType = VIDEO;
           bidResponse.vastUrl = response.adUrl;
           bidResponse.vastXml = response.ad;
+          bidResponse.content = response.ad;
         } else {
           bidResponse.adUrl = response.adUrl;
           bidResponse.ad = response.ad;
diff --git a/modules/smartadserverBidAdapter.md b/modules/smartadserverBidAdapter.md
index c6f68363d7c..05e29359fd2 100644
--- a/modules/smartadserverBidAdapter.md
+++ b/modules/smartadserverBidAdapter.md
@@ -94,4 +94,43 @@ Please reach out to your Technical account manager for more information.
             }
         }]
     };
+```
+
+## Outstream Video
+
+```
+    var outstreamVideoAdUnit = {
+			code: 'test-div',
+			mediaTypes: {
+				video: {
+					context: 'outstream',
+					playerSize: [640, 480]
+				}
+			},
+			renderer: {
+				url: 'https://acdn.adnxs.com/video/outstream/ANOutstreamVideo.js',
+				render: function (bid) {
+					bid.renderer.push(() => { 
+						ANOutstreamVideo.renderAd({ 
+							targetId: bid.adUnitCode,
+							adResponse: bid 
+						}); 
+					});
+				}
+			},
+			bids: [{
+				bidder: "smart",
+				params: {
+					domain: 'https://prg.smartadserver.com',
+					siteId: 207435,
+					pageId: 896536,
+					formatId: 85089,
+					bidfloor: 5,
+                    video: {
+                        protocol: 6,
+                        startDelay: 1
+                    }
+				}
+			}]
+		};
 ```
\ No newline at end of file
diff --git a/test/spec/modules/smartadserverBidAdapter_spec.js b/test/spec/modules/smartadserverBidAdapter_spec.js
index 2faad47aca8..a193600e351 100644
--- a/test/spec/modules/smartadserverBidAdapter_spec.js
+++ b/test/spec/modules/smartadserverBidAdapter_spec.js
@@ -425,6 +425,7 @@ describe('Smart bid adapter tests', function () {
       expect(bid.mediaType).to.equal('video');
       expect(bid.vastUrl).to.equal('http://awesome.fake-vast.url');
       expect(bid.vastXml).to.equal('<VAST version="4.0"></VAST>');
+      expect(bid.content).to.equal('<VAST version="4.0"></VAST>');
       expect(bid.width).to.equal(640);
       expect(bid.height).to.equal(480);
       expect(bid.creativeId).to.equal('zioeufg');
@@ -473,6 +474,109 @@ describe('Smart bid adapter tests', function () {
     });
   });
 
+  describe('Outstream video tests', function () {
+    afterEach(function () {
+      config.resetConfig();
+      $$PREBID_GLOBAL$$.requestBids.removeAll();
+    });
+
+    const OUTSTREAM_DEFAULT_PARAMS = [{
+      adUnitCode: 'sas_43',
+      bidId: 'abcd1234',
+      bidder: 'smartadserver',
+      mediaTypes: {
+        video: {
+          context: 'outstream',
+          playerSize: [[800, 600]] // It seems prebid.js transforms the player size array into an array of array...
+        }
+      },
+      params: {
+        siteId: '1234',
+        pageId: '5678',
+        formatId: '91',
+        target: 'test=prebid-outstream',
+        bidfloor: 0.430,
+        buId: '7579',
+        appName: 'Mozilla',
+        ckId: 43,
+        video: {
+          protocol: 7
+        }
+      },
+      requestId: 'efgh5679',
+      transactionId: 'zsfgzzga'
+    }];
+
+    var OUTSTREAM_BID_RESPONSE = {
+      body: {
+        cpm: 14,
+        width: 800,
+        height: 600,
+        creativeId: 'zioeufga',
+        currency: 'USD',
+        isNetCpm: true,
+        ttl: 300,
+        adUrl: 'http://awesome.fake-vast2.url',
+        ad: '<VAST version="4.0"><!--Outstream--></VAST>',
+        cSyncUrl: 'http://awesome.fake2.csync.url'
+      }
+    };
+
+    it('Verify outstream video build request', function () {
+      config.setConfig({
+        'currency': {
+          'adServerCurrency': 'EUR'
+        }
+      });
+      const request = spec.buildRequests(OUTSTREAM_DEFAULT_PARAMS);
+      expect(request[0]).to.have.property('url').and.to.equal('https://prg.smartadserver.com/prebid/v1');
+      expect(request[0]).to.have.property('method').and.to.equal('POST');
+      const requestContent = JSON.parse(request[0].data);
+      expect(requestContent).to.have.property('siteid').and.to.equal('1234');
+      expect(requestContent).to.have.property('pageid').and.to.equal('5678');
+      expect(requestContent).to.have.property('formatid').and.to.equal('91');
+      expect(requestContent).to.have.property('currencyCode').and.to.equal('EUR');
+      expect(requestContent).to.have.property('bidfloor').and.to.equal(0.43);
+      expect(requestContent).to.have.property('targeting').and.to.equal('test=prebid-outstream');
+      expect(requestContent).to.have.property('tagId').and.to.equal('sas_43');
+      expect(requestContent).to.not.have.property('pageDomain');
+      expect(requestContent).to.have.property('transactionId').and.to.not.equal(null).and.to.not.be.undefined;
+      expect(requestContent).to.have.property('buid').and.to.equal('7579');
+      expect(requestContent).to.have.property('appname').and.to.equal('Mozilla');
+      expect(requestContent).to.have.property('ckid').and.to.equal(43);
+      expect(requestContent).to.have.property('isVideo').and.to.equal(false);
+      expect(requestContent).to.have.property('videoData');
+      expect(requestContent.videoData).to.have.property('videoProtocol').and.to.equal(7);
+      expect(requestContent.videoData).to.have.property('playerWidth').and.to.equal(800);
+      expect(requestContent.videoData).to.have.property('playerHeight').and.to.equal(600);
+    });
+
+    it('Verify outstream parse response', function () {
+      const request = spec.buildRequests(OUTSTREAM_DEFAULT_PARAMS);
+      const bids = spec.interpretResponse(OUTSTREAM_BID_RESPONSE, request[0]);
+      expect(bids).to.have.lengthOf(1);
+      const bid = bids[0];
+      expect(bid.cpm).to.equal(14);
+      expect(bid.mediaType).to.equal('video');
+      expect(bid.vastUrl).to.equal('http://awesome.fake-vast2.url');
+      expect(bid.vastXml).to.equal('<VAST version="4.0"><!--Outstream--></VAST>');
+      expect(bid.content).to.equal('<VAST version="4.0"><!--Outstream--></VAST>');
+      expect(bid.width).to.equal(800);
+      expect(bid.height).to.equal(600);
+      expect(bid.creativeId).to.equal('zioeufga');
+      expect(bid.currency).to.equal('USD');
+      expect(bid.netRevenue).to.equal(true);
+      expect(bid.ttl).to.equal(300);
+      expect(bid.requestId).to.equal(OUTSTREAM_DEFAULT_PARAMS[0].bidId);
+
+      expect(function () {
+        spec.interpretResponse(OUTSTREAM_BID_RESPONSE, {
+          data: 'invalid Json'
+        })
+      }).to.not.throw();
+    });
+  });
+
   describe('External ids tests', function () {
     it('Verify external ids in request and ids found', function () {
       config.setConfig({