1
下面的代码需要5-6小时才能存储一年的数据（850,000条记录）。运行一个月的时间要少得多。优化长时间运行sql查询的性能
首先，在这个脚本中有什么明显的东西可以解释缓慢。是否有任何测试可以确定缺陷位置？我发现它需要（当前）5个小时才能将一组表中的数据移动到另一个表中。
是否有不同的方法可以使用其他方法，然后每月运行此脚本？
在开始的大选择语句需要几秒钟，所以问题不在那里。
USE HealthBI
GO
-- basic statement returns 292520 rows on 20/07/2015
-- basic statement returns 318249 rows on 05/08/2015
/** 28/09/2015 (PJ) Updated statement to pull CCG of Res from CDO_CDS_62_OPS_020_02_PATIENT_IDENTITY
rather than CDO_ODS_EXTENDED_POSTCODE table (Note: HA still coming from CDO_ODS_EXTENDED_POSTCODE)
Replaced CAST(POSTCODE.CCG_OF_RESIDENCE AS VARCHAR(5)) with CAST(PATIENT_IDENTITY.ORGANISATION_CODE_RESIDENCE_RESPONSIBILITY AS VARCHAR(5)) **/
-- 01/12/2015 (PJ) Added population of OldCDSIdentifier field with the attendance OID to enable easy linking between data and HealthBI tables
-- 02/08/2016 (JB) Tidied/formatted code
-- 07/11/2016 (PJ) Added diagnosis code into statements below
-- Note: May need to add additional code below to suppress fictitious 'Z000' code.
INSERT INTO [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData ([CDSType],[CDSIdentifier],
[ProviderCode],[PCTOfResidence],[PCT],[HACodeOfResidence],[PostcodeOfUsualAddress],
[SiteCodeOfTreatment],[AdministrativeCategory],[NAC_HRG],[LocalClinicCode],
[LocalPatientIdentifier],[NHSNumber],[NNNStatusIndicator],[CarerSupportIndicator],[Sex],
[BirthDate],[CodeOfRegisteredGP],[PracticeCodeOfRegisteredGP],[AttendanceTime],[AttendanceDate],
[AttendedDidNotAttend],[FirstAttendance],[MedicalStaffTypeSeeingPatient],[OutcomeOfAttendance],
[LocationTypeCode],[SpecialtyFunctionCode],[ConsultantSpecialtyFunctionCode],[CodeOfConsultant],
[PrimaryDiagnosisICD],[OperationStatus],[PrimaryProcedureOPCS],[PriorityType],[ReferrerCode],
[ReferringOrganisationCode],[ServiceTypeRequested],[SourceOfReferral],
[ReferralRequestReceivedDate],[LastDNACancelledDate],[CasenoteNumber],[LocalSubSpecialty],[UBRN],
[PPI],[OrgCodePPI],[RTTPeriodStatus],[RTTPeriodStart],[RTTPeriodEnd],[AgeAtCDSDate],[ERO_Date],
[UpdateType],[EthnicGroup],[OutpatientID],[SerialNumber],[CDSUpdateDate],[CDSUpdateTime],
[FinancialYear],[FileNumber],[NationalSpecialty],[InternalNo],[EpisodeNo],[OldCDSIdentifier])
SELECT CAST(TRANSACTION_HEADER.CDS_TYPE AS VARCHAR(3))
,CAST(TRANSACTION_HEADER.CDS_UNIQUE_ID AS VARCHAR(40))
,CAST(SERVICE_AGREEMENT.ORGANISATION_CODE_CODE_OF_PROVIDER AS VARCHAR(5))
,CAST(PATIENT_IDENTITY.ORGANISATION_CODE_RESIDENCE_RESPONSIBILITY AS VARCHAR(5))
,CAST(GP_PRACTICE.CCG_PARENT_ORGANISATION_CODE AS VARCHAR(5))
,CAST(POSTCODE.ORGANISATION_CODE_HA AS VARCHAR(3))
-- FIND THE PATIENT WHO HAS POSTCODE HU12 0HE (NOTE THE TWO SPACES!)
,CAST(REPLACE(PATIENT_IDENTITY.POSTCODE_OF_USUAL_ADDRESS,' ',' ') AS VARCHAR(8)) USUAL_POSTCODE
,CAST(LOCATION.SITE_CODE_OF_TREATMENT AS VARCHAR(5))
,CAST(MAIN.ADMINISTRATIVE_CATEGORY_CODE AS VARCHAR(2))
,CAST(OP_APPT.HRG_CODE AS VARCHAR(5))
,CAST( CASE WHEN SUBSTRING(LOCATION.CLINIC_CODE,1,3) = 'HWS' THEN SUBSTRING(LOCATION.CLINIC_CODE,4,LEN(LOCATION.CLINIC_CODE))
ELSE LOCATION.CLINIC_CODE
END AS VARCHAR(8)) AS LOCAL_CLINIC_CODE
,CAST(PATIENT_IDENTITY.LOCAL_PATIENT_IDENTIFIER AS VARCHAR(10))
,CAST(PATIENT_IDENTITY.NHS_NUMBER AS VARCHAR(10))
,CAST(PATIENT_IDENTITY.NHS_NUMBER_STATUS_INDICATOR_CODE AS VARCHAR(2))
,CAST(PATIENT_CHARACTERISTICS.CARER_SUPPORT_INDICATOR AS VARCHAR(2))
,CAST(PATIENT_CHARACTERISTICS.PERSON_GENDER_CODE_CURRENT AS VARCHAR(1))
,CAST(REPLACE(PATIENT_IDENTITY.PERSON_BIRTH_DATE,'-','') AS VARCHAR(8)) DOB
,CAST(GP_REGISTRATION.GENERAL_MEDICAL_PRACTITIONER_SPECIFIED AS VARCHAR(8))
,CAST(GP_REGISTRATION.GENERAL_MEDICAL_PRACTICE_CODE_PATIENT_REGISTRATION AS VARCHAR(6))
,CAST(REPLACE(SUBSTRING(MAIN.APPOINTMENT_TIME,1,5),':','') AS VARCHAR(4)) APPT_TIME
,CAST(REPLACE(MAIN.APPOINTMENT_DATE,'-','') AS VARCHAR(8)) APPT_DATE
,CAST(MAIN.ATTENDED_OR_DID_NOT_ATTEND_CODE AS VARCHAR(1))
,CAST(MAIN.FIRST_ATTENDANCE_CODE AS VARCHAR(1))
,CAST(MAIN.MEDICAL_STAFF_TYPE_SEEING_PATIENT AS VARCHAR(2))
,CAST(MAIN.OUTCOME_OF_ATTENDANCE_CODE AS VARCHAR(1))
,NULL AS ACTIVITY_LOCATION_TYPE_CODE
,CAST(CONSULTANT.CARE_PROFESSIONAL_MAIN_SPECIALTY_CODE AS VARCHAR(3))
,CAST( CASE WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '313' THEN '316'
WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '172' THEN '170'
WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '173' THEN '170'
ELSE CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE
END AS VARCHAR(3))
,CAST(CONSULTANT.CONSULTANT_CODE AS VARCHAR(8))
,CAST(ICD_PRIMARY.PRIMARY_DIAGNOSIS_ICD AS VARCHAR(4))
,CAST(MAIN.OPERATION_STATUS_CODE AS VARCHAR(1))
,CAST(OPCS_PRIMARY.PRIMARY_PROCEDURE_CODE_OPCS AS VARCHAR(4))
,CAST(REFERRAL.PRIORITY_TYPE_CODE AS VARCHAR(1))
,CAST(REFERRER.REFERRER_CODE AS VARCHAR(8))
,CAST( CASE WHEN REFERRER.REFERRING_ORGANISATION_CODE = 'SPIREHERH' THEN NULL
ELSE REFERRER.REFERRING_ORGANISATION_CODE
END AS VARCHAR(6)) AS REF_ORG
,CAST(REFERRAL.SERVICE_TYPE_REQUESTED_CODE AS VARCHAR(1))
,CAST(REFERRAL.SOURCE_OF_REFERRAL_FOR_OUT_PATIENTS AS VARCHAR(2))
,CAST(REPLACE(REFERRAL.REFERRAL_REQUEST_RECEIVED_DATE,'-','') AS VARCHAR(8)) REF_REC_DATE
,CAST(REPLACE(MISSED_APPOINTMENT.LAST_DNA_OR_PATIENT_CANCELLED_DATE,'-','') AS VARCHAR(8)) LAST_DNA_CANC_DATE
,CAST(PATIENT_IDENTITY.LOCAL_PATIENT_IDENTIFIER AS VARCHAR(10)) CASENOTE_NUMBER
-- ward
-- funding
-- cancdate
-- cancby
-- dind
-- attcat
-- appreq
-- gprdiag
-- refhosp
-- appthosp
-- gpfh
,CAST(CONSULTANT.LOCAL_SUB_SPECIALTY_CODE AS VARCHAR(3))
,CAST(PATIENT_PATHWAY.UNIQUE_BOOKING_REFERENCE_NUMBER AS VARCHAR(12))
-- SOME ARE UP TO 23 CHARS LONG
,SUBSTRING(PATIENT_PATHWAY.PATIENT_PATHWAY_IDENTIFIER,1,20) AS PPI
,CAST(PATIENT_PATHWAY.ORGANISATION_CODE_PATIENT_PATHWAY_IDENTIFIER AS VARCHAR(5))
,CAST(PATIENT_PATHWAY.REFERRAL_TO_TREATMENT_PERIOD_STATUS AS VARCHAR(2))
,CAST(REPLACE(PATIENT_PATHWAY.REFERRAL_TO_TREATMENT_PERIOD_START_DATE,'-','') AS VARCHAR(8)) RTT_START
,CAST(REPLACE(PATIENT_PATHWAY.REFERRAL_TO_TREATMENT_PERIOD_END_DATE,'-','') AS VARCHAR(8)) RTT_END
,CAST(MAIN.AGE_AT_CDS_ACTIVITY_DATE AS VARCHAR(3))
,CAST(REPLACE(MAIN.EARLIEST_REASONABLE_OFFER_DATE,'-','') AS VARCHAR(8)) ERO_DATE
,CAST('9' AS VARCHAR(1)) UPDATETYPE
-- localappttype
,CAST(PATIENT_CHARACTERISTICS.ETHNIC_CATEGORY AS VARCHAR(2))
,OP_APPT.UNIQUE_ID -- outpatientID
,CAST('HEY' AS VARCHAR(6)) SERIALNUMBER
,CAST(CONVERT(CHAR(8), GETDATE(), 112) AS VARCHAR(8)) CDSUpdateDate
,CAST(REPLACE(CONVERT(CHAR(5), GETDATE(), 108),':','') AS VARCHAR(4)) CDSUpdateTime
-- 02/06/2016 (JB) Not needed, but left in as useful around fiscal change when processing multiple months together (M12 Freeze + M01 Flex)
, CASE WHEN CONVERT(DATE,MAIN.APPOINTMENT_DATE) >= 'APRIL 1 2016' THEN '2016/2017'
ELSE '2015/2016'
END AS FinancialYear
,(SELECT MAX(FileNumber) + 100
FROM [CHH-SLAMDB].[SLAMS_SQL].[dbo].[ImportLog]
WHERE ActivityType = 'Outpatient') -- File Number, used to be manually changed every time (EIR & Live)
,CAST( CASE WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '313' THEN '316'
WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '172' THEN '170'
WHEN CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE = '173' THEN '170'
ELSE CONSULTANT.ACTIVITY_TREATMENT_FUNCTION_CODE
END AS VARCHAR(3))
,'NA' InternalNo
,'NA' EpisodeNo
,CAST(MAIN.ATTENDANCE_IDENTIFIER AS VARCHAR(35))
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER TRANSACTION_HEADER LEFT JOIN
dbo.CDO_CDS_62_OPS_020_07_ATTENDANCE_OCCURRENCE_ACTIVITY [MAIN] ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = MAIN.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = MAIN.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_08_ATTENDANCE_OCCURRENCE_SERVICE_AGREEMENT SERVICE_AGREEMENT ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = SERVICE_AGREEMENT.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = SERVICE_AGREEMENT.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_02_PATIENT_IDENTITY PATIENT_IDENTITY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = PATIENT_IDENTITY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = PATIENT_IDENTITY.EXTRACT_ID LEFT JOIN
dbo.CDO_ODS_EXTENDED_POSTCODE POSTCODE ON
PATIENT_IDENTITY.POSTCODE_OF_USUAL_ADDRESS = POSTCODE.POST_CODE_VARYING LEFT JOIN
dbo.CDO_CDS_62_OPS_020_12_GP_REGISTRATION GP_REGISTRATION ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = GP_REGISTRATION.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = GP_REGISTRATION.EXTRACT_ID LEFT JOIN
dbo.CDO_ODS_GENERAL_MEDICAL_PRACTICE GP_PRACTICE ON
GP_REGISTRATION.GENERAL_MEDICAL_PRACTICE_CODE_PATIENT_REGISTRATION = GP_PRACTICE.ORGANISATION_CODE LEFT JOIN
dbo.CDO_CDS_62_OPS_020_11_ATTENDANCE_OCCURRENCE_LOCATION_GROUP LOCATION ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = LOCATION.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = LOCATION.EXTRACT_ID LEFT JOIN
dbo.CDO_OP_APPOINTMENT OP_APPT ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = OP_APPT.APPOINTMENT_IDENTIFIER LEFT JOIN
dbo.CDO_CDS_62_OPS_020_03_PATIENT_CHARACTERISTICS PATIENT_CHARACTERISTICS ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = PATIENT_CHARACTERISTICS.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = PATIENT_CHARACTERISTICS.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_04_CARE_EPISODE_PERSON CONSULTANT ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = CONSULTANT.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = CONSULTANT.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_09A_ATTENDANCE_OCCURRENCE_CLINICAL_ACTIVITY_OPCS_PRIMARY OPCS_PRIMARY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = OPCS_PRIMARY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = OPCS_PRIMARY.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_13_REFERRAL_ACTIVITY REFERRAL ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = REFERRAL.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = REFERRAL.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_14_REFERRER REFERRER ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = REFERRER.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = REFERRER.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_15_MISSED_APPOINTMENT MISSED_APPOINTMENT ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = MISSED_APPOINTMENT.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = MISSED_APPOINTMENT.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_01_PATIENT_PATHWAY PATIENT_PATHWAY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = PATIENT_PATHWAY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = PATIENT_PATHWAY.EXTRACT_ID LEFT JOIN
dbo.CDO_CDS_62_OPS_020_05A_CARE_EPISODE_CLINICAL_DIAGNOSIS_ICD_PRIMARY ICD_PRIMARY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = ICD_PRIMARY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = ICD_PRIMARY.EXTRACT_ID
WHERE TRANSACTION_HEADER.EXTRACT_ID = ( SELECT MAX(EXTRACT_ID)
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER)
AND TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER NOT LIKE '%NDC'
AND MAIN.ATTENDED_OR_DID_NOT_ATTEND_CODE IN ('3','5','6','7')
AND TRANSACTION_HEADER.CDS_ACTIVITY_DATE < CONVERT(CHAR(10), GETDATE(), 120)
AND CONVERT(DATE,MAIN.APPOINTMENT_DATE) >= 'APRIL 1 2016'
AND CONVERT(DATE,MAIN.APPOINTMENT_DATE) < 'APRIL 1 2017' -- END DATE, Needs Changing Every (EIR) Time
AND SUBSTRING(LOCATION.CLINIC_CODE,1,3) <> 'HWS'
-- 16/11/15 (JB) Added end date where condition, to prevent additional data for current month and additional deletion step after this script
-- 24/08/15 (PJ) Removed ATTENDED_OR_DID_NOT_ATTEND_CODE '2' (cancelled by patient) from WHERE clause above
-- 24/08/15 (PJ) Only very small number of cancellations were previously included in CDS and submitted to SUS
-- as the majority had a NULL attend code field which meant the clinicom CDS ignored these.
IF OBJECT_ID('tempdb..#TMP_PROC_PIVOT') IS NOT NULL
BEGIN
DROP TABLE #TMP_PROC_PIVOT
END
SELECT TRANSACTION_HEADER.CDS_UNIQUE_ID
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 1 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn2
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 2 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn3
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 3 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn4
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 4 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn5
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 5 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn6
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 6 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn7
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 7 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn8
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 8 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn9
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 9 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn10
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 10 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn11
,MAX(CASE WHEN OPCS_SECONDARY.SEQUENCE_NUMBER = 11 THEN OPCS_SECONDARY.SECONDARY_PROCEDURE_CODE_OPCS ELSE NULL END) AS operatn12
INTO #TMP_PROC_PIVOT
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER TRANSACTION_HEADER INNER JOIN
dbo.CDO_CDS_62_OPS_020_07_ATTENDANCE_OCCURRENCE_ACTIVITY [MAIN] ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = MAIN.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = MAIN.EXTRACT_ID INNER JOIN
dbo.CDO_CDS_62_OPS_020_09B_ATTENDANCE_OCCURRENCE_CLINICAL_ACTIVITY_OPCS_SECONDARY OPCS_SECONDARY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = OPCS_SECONDARY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = OPCS_SECONDARY.EXTRACT_ID
WHERE TRANSACTION_HEADER.EXTRACT_ID = ( SELECT MAX(EXTRACT_ID)
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER)
AND TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER NOT LIKE '%NDC'
AND MAIN.ATTENDED_OR_DID_NOT_ATTEND_CODE IN ('3','5','6','7')
AND TRANSACTION_HEADER.CDS_ACTIVITY_DATE < CONVERT(CHAR(10), GETDATE(), 120)
GROUP BY TRANSACTION_HEADER.CDS_UNIQUE_ID
-- 24/08/2015 (PJ) Removed ATTENDED_OR_DID_NOT_ATTEND_CODE '2' (cancelled by patient) from WHERE clause above
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET ProcedureCode2OPCS = [PROC].operatn2,
ProcedureCode3OPCS = [PROC].operatn3,
ProcedureCode4OPCS = [PROC].operatn4,
ProcedureCode5OPCS = [PROC].operatn5,
ProcedureCode6OPCS = [PROC].operatn6,
ProcedureCode7OPCS = [PROC].operatn7,
ProcedureCode8OPCS = [PROC].operatn8,
ProcedureCode9OPCS = [PROC].operatn9,
ProcedureCode10OPCS = [PROC].operatn10,
ProcedureCode11OPCS = [PROC].operatn11,
ProcedureCode12OPCS = [PROC].operatn12
FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData AS opa INNER JOIN
#TMP_PROC_PIVOT [PROC] ON opa.CDSIdentifier COLLATE SQL_Latin1_General_CP1_CI_AS = [PROC].CDS_UNIQUE_ID COLLATE SQL_Latin1_General_CP1_CI_AS
-- 07/11/2016 (PJ) Added code below to populate any instances that have more than 1 diagnosis code (same process as utilised above)
IF OBJECT_ID('tempdb..#TMP_DIAG_PIVOT') IS NOT NULL
BEGIN
DROP TABLE #TMP_DIAG_PIVOT
END
SELECT TRANSACTION_HEADER.CDS_UNIQUE_ID
,MAX(CASE WHEN ICD_SECONDARY.SEQUENCE_NUMBER = 1 THEN ICD_SECONDARY.SECONDARY_DIAGNOSIS_ICD ELSE NULL END) AS diag2
,MAX(CASE WHEN ICD_SECONDARY.SEQUENCE_NUMBER = 2 THEN ICD_SECONDARY.SECONDARY_DIAGNOSIS_ICD ELSE NULL END) AS diag3
INTO #TMP_DIAG_PIVOT
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER TRANSACTION_HEADER INNER JOIN
dbo.CDO_CDS_62_OPS_020_07_ATTENDANCE_OCCURRENCE_ACTIVITY [MAIN] ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = MAIN.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = MAIN.EXTRACT_ID INNER JOIN
dbo.CDO_CDS_62_OPS_020_05B_CARE_EPISODE_CLINICAL_DIAGNOSIS_ICD_SECONDARY ICD_SECONDARY ON
TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER = ICD_SECONDARY.JOIN_APPOINTMENT_IDENTIFIER
AND TRANSACTION_HEADER.EXTRACT_ID = ICD_SECONDARY.EXTRACT_ID
WHERE TRANSACTION_HEADER.EXTRACT_ID = ( SELECT MAX(EXTRACT_ID)
FROM dbo.CDO_CDS_62_OPS_020_00_TRANSACTION_HEADER)
AND TRANSACTION_HEADER.JOIN_APPOINTMENT_IDENTIFIER NOT LIKE '%NDC'
AND MAIN.ATTENDED_OR_DID_NOT_ATTEND_CODE IN ('3','5','6','7')
AND TRANSACTION_HEADER.CDS_ACTIVITY_DATE < CONVERT(CHAR(10), GETDATE(), 120)
GROUP BY TRANSACTION_HEADER.CDS_UNIQUE_ID
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET SubsidiaryDiagnosisICD = [DIAG].diag2,
SecondaryDiagnosisICD = [DIAG].diag3
FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData AS opa INNER JOIN
#TMP_DIAG_PIVOT [DIAG] ON opa.CDSIdentifier COLLATE SQL_Latin1_General_CP1_CI_AS = [DIAG].CDS_UNIQUE_ID COLLATE SQL_Latin1_General_CP1_CI_AS
-- Added 20/07/2015 (PJ) Delete activity at these clinics as they were previously recorded as VAP local appointment types
DELETE FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
WHERE LocalClinicCode IN('AIHVC','HLOVC','JDAVC','JEHVC','JGVC','KILVC')
-- Added 20/07/2015 (PJ) populates local diagnostic appt types to try to create consistency with first 2 months
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET LocalApptType = CASE WHEN FirstAttendance = 1 THEN 'NDI'
WHEN FirstAttendance = 2 THEN 'ODI'
WHEN FirstAttendance = 3 THEN 'NDI'
WHEN FirstAttendance = 4 THEN 'ODI'
ELSE NULL
END
FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData AS op INNER JOIN
[HealthBI].[dbo].[CDO_CLINIC_OR_FACILITY] cl ON
op.LocalClinicCode COLLATE SQL_Latin1_General_CP1_CI_AS = cl.CLINIC_CODE COLLATE SQL_Latin1_General_CP1_CI_AS
WHERE cl.TR_DIAGNOSTIC_CLINIC <> '0'
-- Added 20/07/2015 (PJ) populates local telephone appt types to try to create consistency with first 2 months
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET LocalApptType = CASE WHEN FirstAttendance = 3 THEN 'OTP'
WHEN FirstAttendance = 4 THEN 'NTP'
ELSE LocalApptType
END
FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
-- Added 20/07/2015 (PJ) populates local supplementary appt types to try to create consistency with first 2 months
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET LocalApptType = 'SUP'
WHERE tblOutpatientData.LocalClinicCode IN('CAUD002','CAUDINIT','CF001','CF002','LEA00TEV','MACFC','OLS002','RVO00V')
-- Added 20/07/2015 (PJ) Delete therapies activity
-- Added 02/03/2016 (JB) Delete therapies activity, added 'OR' as original code above compared
-- full length clinics in HealthBI.dbo.CDO_CLINIC_OR_FACILITY against 8 letter character
-- clinics in OutpatientData (as shortened when grabbed above)
DELETE FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
WHERE LocalClinicCode IN (SELECT CLINIC_CODE COLLATE SQL_Latin1_General_CP1_CI_AS
FROM HealthBI.dbo.CDO_CLINIC_OR_FACILITY
WHERE TR_IS_AHP_CLINIC <> '0') OR
LocalClinicCode IN (SELECT Clinic COLLATE SQL_Latin1_General_CP1_CI_AS
FROM CommDB.dbo.tblLocalClinicExtension
WHERE AHPClinic <> '0')
-- Added 13/01/2016 (PJ) Delete non-RWA activity
DELETE FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
WHERE LocalClinicCode IN (SELECT CLINIC_CODE COLLATE SQL_Latin1_General_CP1_CI_AS
FROM HealthBI.dbo.CDO_CLINIC_OR_FACILITY
WHERE LOCAL_ORGANISATION_CODE_TRUST <> 'RWA')
-- Added 03/05/2016 (PJ) Updates Outcome of Attendance field for cancellations
UPDATE [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData
SET OutcomeOfAttendance = CASE WHEN wl.BookingOutcomeCode = 'CC_REMOVEAPE' THEN '1'
WHEN wl.BookingOutcomeCode = 'CC_REMAINAPE' THEN '3'
ELSE OutcomeOfAttendance
END
FROM [CHH-SLAMDB].SLAMS_SQL.dbo.tblOutpatientData AS op INNER JOIN
[HealthBI_Views].[dbo].[OP_APPOINTMENT] AS opappt ON
op.OldCDSIdentifier COLLATE SQL_Latin1_General_CP1_CI_AS = opappt.ApptID COLLATE SQL_Latin1_General_CP1_CI_AS LEFT JOIN
[HealthBI_Views].[dbo].[OP_WAITING_LIST_ENTRY_BOOKING] wl ON
opappt.BookingOfferID = wl.BookingOfferID
WHERE op.AttendedDidNotAttend IN('2','4')
-- Update Added 02/08/2016 (JB), Set GP Code and Gp Practice Code to 'R9999981' and 'V81998' when the patient has a postcode that's a prison
UPDATE [CHH-SLAMDB].[SLAMS_SQL].[dbo].[tblOutpatientData]
SET [CodeOfRegisteredGP] = 'R9999981',
[PracticeCodeOfRegisteredGP] = 'V81998',
[pct] = 'Q72'
WHERE [PostcodeOfUsualAddress] COLLATE Latin1_General_CI_AS IN (SELECT DISTINCT [Postcode] COLLATE Latin1_General_CI_AS
FROM [CHH-BILIVE].[CommDB].[dbo].[tblODSPrison])
您是否尝试过包含执行计划？你是否尝试分别测量每个模块以找出哪些部分较慢？你有没有考虑在[StackExchange-Code-Review]（https://codereview.stackexchange.com/）上发帖。这个问题是不是在StackOverflow的范围... – Shnugo
应该张贴在https://codereview.stackexchange.com/ – Shnugo
道歉我现在已经添加到codereview，我不知道这个网站 – Simon