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Think about / experiment with SQL performance #42

Open sebbacon opened 4 years ago

sebbacon commented 4 years ago

@evansd to supply a few example SQL statements for running in TPP infrastructure (in advance of us getting direct access ourselves).

Most of the queries are as you'd expect - against Read codes and dates - so the indexes needed are (I expect) the obvious ones.

There is at least one complex SQL query that does quite a lot with windowing / PARTITION BY etc which I expect would be CPU-bound so it might be worth trying that as one of the examples (although we might not use it).

Depending on the capabilities of the server we might try JOINing several very large tables in SQL, which again would probably not need new indexes, but would need loads of RAM. We could also do the merging in python.

evansd commented 4 years ago

@chris-tpp I'll paste a few examples below. Most of the queries so far are pretty trivial, they just have some monster IN clauses where we're matching against large codelists. It might well make sense to do these via temporary tables but for now we're just going with the simplest thing that works.

In general, I don't think we care too much about the difference between a 1 second query and a 5 minute one. Obviously faster is better, but it's only when queries start to take significant amounts of time to run that we need to worry.

This is a simple query with a big-ish code list.

patients_with_CVD_drugs.sql

```sql SELECT DISTINCT med.Patient_ID AS patient_id, 1 AS cvd_meds FROM MedicationDictionary AS dict INNER JOIN MedicationIssue AS med ON dict.MultilexDrug_ID = med.MultilexDrug_ID WHERE dict.DMD_ID IN 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ORDER BY patient_id ```

This is the nastiest query we've tried so far. There are different approaches we can try to this though, and we may end up offloading some of the work to Python so it's not a problem if this query turns out to be impossibly expensive. (Note, the meds codelist here is invented.)

patients_with_meds_in_3_consecutive_quarters.sql

```sql WITH issues AS ( SELECT DISTINCT MedicationIssue.Patient_ID, StartDate, DATEDIFF(MONTH, '1900-01-01', StartDate) AS months FROM MedicationIssue INNER JOIN MedicationDictionary ON MedicationIssue.MultilexDrug_ID = MedicationDictionary.MultilexDrug_ID WHERE DMD_ID != 'MULTIPLE_DMD_MAPPING' -- Meds codelist goes here AND DMD_ID IN ('4515411000001106','4210511000001109','4515511000001105','4515211000001107') ), -- adds a column indicating how many months each row is from the previous row with_delta AS ( SELECT *, LEAD(months) OVER (PARTITION BY Patient_ID ORDER BY months) - months AS delta FROM issues ), -- Whenever the delta is greater than a quarter, add a flag with_quarter_flag AS ( SELECT *, CASE WHEN delta <= 3 -- this is three months *inclusive* THEN 0 ELSE 1 END AS outside_quarter FROM with_delta ), -- Use the flag to create a unique group id (`continuous_group`) for each non-adjacent group with_continuous_group AS ( SELECT *, SUM(outside_quarter) OVER ( PARTITION BY Patient_ID ORDER BY months ROWS BETWEEN UNBOUNDED PRECEDING AND CURRENT ROW ) AS continuous_group FROM with_quarter_flag ) -- Make the final table of patients, medicines, and dates SELECT SUM(delta) AS continous_months, MIN(StartDate) AS start_date, Patient_ID FROM with_continuous_group WHERE delta <= 3 -- exclude groups with one row which is greater than one quarter GROUP BY continuous_group, Patient_ID HAVING SUM(delta) >= 6 -- only include groups covering at least three quarters. It's `quarters - 1` because we count the *gaps*, not the *events* ```