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 points people here: HN recommends it as a rare real-world look at a large fault-tolerant Erlang/Elixir system with no downtime in healthcare.
“an excellent presentation of design/architecture of a Real-World fault-tolerant and distributed System in Erlang/Elixir”HN comment, 2023
“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
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Not code but an excellent presentation of design/architecture of a Real-World fault-tolerant and distributed System in Erlang/Elixir - this video
Strongly recommendsrramadassJan 2024
“You get to really see the mind-blowing power of the Erlang System in this”
Complete distributed fault-tolerant Erlang/Elixir system architecture
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After watching the above which gives one an idea of the Erlang System's capabilities, watch this presentation by Bryan Hunter where the design and architecture of a complete distributed and fault-tolerant Erlang/Elixir system is shown; You get to really see the mind-blowing power of the Erlang System in this - this video
RecommendsnotpublicJun 2023
“Bryan Hunter explains how they do it at HCA healthcare”
Hunter explains how HCA healthcare uses processes
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This video may be of interest to you: this video Bryan Hunter explains how they do it at HCA healthcare (not specifically LiveView process, but processes in general).
RecommendsGCUMstlyHarmlsDec 2024
“the whole talk is quite interesting regarding availability”
Large-scale resilient healthcare deployment with no downtime
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This is a talk about a large scale, resilient elixir/erlang deployment in healthcare. Specifically they talk about running with no down time using hot code reloading here: this video but the whole talk is quite interesting regarding availability. Warning: the video is quite quiet.
RecommendschantepierreJul 2025
“people who do not know about erlang's hot code loading should watch this talk”
Multi-DC cluster with parts progressively swapped at runtime
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To add to this topic, people who do not know about erlang's hot code loading should watch this talk : this video A multi-DC running cluster where parts are progressively swapped at runtime. No database, only OTP.
Cites itdarkmarmotAug 2023
Talk on running multiple versions in a cluster
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We use it across multiple versions of our software running in the same cluster. As long as you dark launch API changes, it's not much of an issue. this video (Doh, just realized I was replying to Mr. Elixir himself! And you're familiar with our project anyway :)
Cites itdarkmarmotAug 2024
“You can learn more about it here”
Describes the commenter's production system for patient state in RAM
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We use something like this at scale, similar to Riak's design. We use it to store things like the active state of millions of hospital patients in RAM for high availability (zero downtime when DCs or nodes fail). One copy per data center with a writer at one of the DCs. Our current cluster has 32 nodes (8 per DC -- we should have 5 DCs across the US but only have 4 at the moment). You can learn more about it here: this video .