
Deployment of an interoperable HDS compliant hub, built on a scalable microservices architecture
Context
Each year, French emergency services handle more than 30 million calls to 15. However, coordination between the 83 SAMUs, SMURs, SDIS (firefighters) and other emergency actors is still based on a fragmented, slow ecosystem that is a source of errors and information loss — with critical consequences in the event of a vital emergency.
To remedy this, the Digital Health Agency (ANS) launched the Health Hub in 2024: a national interoperability platform, designed to connect all emergency actors in real time.
Its ambition: to build a secure, scalable and robust infrastructure (API, asynchronous messaging, microservices), to offer a standardized and reliable experience for caregivers, and to ensure rigorous HDS compliance, with regular audits, continuous security monitoring and active monitoring.
The Health Hub is establishing itself as a strategic pillar of digital sovereignty in health, at the service of instant coordination of emergency services at the national level.

Challenges
- Standardize the exchanges of different software, without a unified standard.
- Ensure continuous HDS compliance and permanent monitoring.
- Minimize intervention times through powerful routing and automation tools to guarantee high availability in a critical context.
- Maintain development agility while industrializing the solution for large-scale deployment.
Our approach
A team of 3 theodo experts (1 PM and 2 Software Engineers) supported the ANS teams throughout the project.
What made the difference:
Right-First-Time
Development of robust components in Java, Python and Vue 3, to ensure better technical quality and high maintainability.
Just-in-Time
Continuous deployment of new versions (v3 of the Hub, intervention converters, test tools).
Tech-Enabled Network of Teams
Close cooperation between Theodo and the internal teams to guarantee interoperability with all business software (NexSIS, SMUR, SDIS...).







