GigCityElixir23 - Bryan Hunter
What it is
Bryan Hunter's GigCityElixir 2023 talk on HCA Healthcare's Waterpark system, built on Elixir/Erlang. It describes how the architecture is distributed and fault-tolerant, with a multi-datacenter cluster and runtime code swapping.
Why Hacker News recommends it
HN recommends it as a rare real-world look at a large fault-tolerant Erlang/Elixir system with no downtime in healthcare.
- 4 people recommended it
- 5 different months
- 2 strong recommendations
- first 2023, last 2025
What HN commenters said
“an excellent presentation of design/architecture of a Real-World fault-tolerant and distributed System in Erlang/Elixir”
Design of a real-world fault-tolerant distributed Erlang system
rramadass, 2023-12 · Strong recommendation · in “Ask HN: Good examples of fault-tolerant Erlang code?”
“Bryan Hunter explains how they do it at HCA healthcare”
Hunter explains how HCA healthcare uses processes
notpublic, 2023-06 · Recommendation · in “A LiveView Is a Process”
“the whole talk is quite interesting regarding availability”
Large-scale resilient healthcare deployment with no downtime
GCUMstlyHarmls, 2024-12 · Recommendation · in “Elixir/Erlang Hot Swapping Code (2016)”
“people who do not know about erlang's hot code loading should watch this talk”
Multi-DC cluster with parts progressively swapped at runtime
chantepierre, 2025-07 · Recommendation · in “Leveraging Elixir's hot code loading capabilities to modularize a monolithic app”
Excerpts from Hacker News comments, linked to the originals. Summaries and labels were written by a language model from those comments.
Topics: elixir, erlang, hot code loading, healthcare, distributed systems, beam
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