从 Explain 结果改进查询
Improve a query from Explain results
我有一个根据搜索条件动态组合的复杂查询。然而，以其最简单的形式，它仍然非常慢。它运行的主要 table 有大约 1000 万条记录。我 运行 针对 'base' 查询进行了解释，并且解释的第一行看起来很糟糕（至少对于像我这样的新手 dba 而言）。我已经阅读了一些关于 EXPLAIN 的教程，但我仍然不确定如何修复查询。所以，结果的第一行似乎表明了问题，但我不知道该怎么办。即使我想，我也无法创建那么长的复合键，并且该 possible_keys 列中的某些字段名称甚至不在患者 table 中。任何帮助将不胜感激。
id,select_type,table,type,possible_keys,key,key_len,ref,rows,Extra
1,SIMPLE,patients,range,"PRIMARY,location,appt_date,status,radiologist,contract,lastname,paperwork,images_archived,hash,created,document_attached,all_images_archived,last_image_archived,modality,study_uid,company,second_access,firstname,report_delivered,ssn,order_entry_status,dob,tech,doctor,mobile_facility,accession,location_appt_date,location_created,location_lastname,ref,person_seq",location_appt_date,55,NULL,573534,"Using index condition; Using where; Using temporary; Using filesort"
1,SIMPLE,receivable_transactions,ref,patient_seq,patient_seq,4,ris-dev.patients.seq,1,NULL
1,SIMPLE,patients_dispatch,ref,patient_seq,patient_seq,4,ris-dev.patients.seq,1,NULL
1,SIMPLE,mobile_facility,ref,"unique_index,name,location",unique_index,115,"ris-dev.patients.mobile_facility,const",1,"Using where"
1,SIMPLE,mobile_facility_service_areas,eq_ref,PRIMARY,PRIMARY,4,ris-dev.mobile_facility.service_area,1,NULL
编辑：相同的 EXPLAIN，但重新格式化以便于阅读：
id select_type table type possible_keys key key_len ref rows Extra
1 SIMPLE patients range PRIMARY location_appt_date 55 NULL 573534 Using index condition; Using where; Using temporary; Using filesort
location
appt_date
status
radiologist
contract
lastname
paperwork
images_archived
hash
created
document_attached
all_images_archived
last_image_archived
modality
study_uid
company
second_access
firstname
report_delivered
ssn
order_entry_status
dob
tech
doctor
mobile_facility
accession
location_appt_date
location_created
location_lastname
ref
person_seq
1 SIMPLE receivable_transactions ref patient_seq patient_seq 4 ris-dev.patients.seq 1 NULL
1 SIMPLE patients_dispatch ref patient_seq patient_seq 4 ris-dev.patients.seq 1 NULL
1 SIMPLE mobile_facility ref unique_index unique_index 115 ris-dev.patients.mobile_facility,const 1 Using where
name
location
1 SIMPLE mobile_facility_service_areas eq_ref PRIMARY PRIMARY 4 ris-dev.mobile_facility.service_area 1 NULL
解释是针对以下查询和 table 结构设置的。
SELECT patients.fax_in_queue, patients.modality, patients.stat, patients.created, patients.seq, patients.lastname,
patients.firstname, patients.appt_date, patients.status, patients.contract, patients.location, patients.unique_hash,
patients.images_archived, patients.report_delivered, patients.doctor, patients.mobile_facility, patients.history,
patients.dob, patients.all_images_archived, patients.order_entry_status, patients.tech, patients.radiologist,
patients.last_image_archived, patients.state, patients.ss_comments, patients.completed, patients.report_status,
patients.have_paperwork, patients.facility_room_number, patients.facility_station_name, patients.facility_bed,
patients.findings_level, patients.document_attached, patients.study_start, patients.company, patients.accession,
patients.number_images, patients.client_number_images, patients.sex, patients.threshhold , GROUP_CONCAT(CONCAT(CONCAT(receivable_transactions.modifier, " "),
receivable_transactions.description) SEPARATOR ", ") AS rt_desc , patients_dispatch.seq AS doc_seq, patients_dispatch.requisition_last_sent,
patients_dispatch.requisition_signed_by_file_seq, patients_dispatch.requisition_signed, patients_dispatch.order_reason, patients_dispatch.order_comments,
patients_dispatch.order_taken, patients_dispatch.order_tech_last_notified, patients_dispatch.order_tech_in_transit, patients_dispatch.order_tech_in,
patients_dispatch.order_tech_out, patients_dispatch.order_tech_ack, patients_dispatch.addr1 AS d_addr1, patients_dispatch.addr2 AS d_addr2,
patients_dispatch.city AS d_city, patients_dispatch.state AS d_state, patients_dispatch.zip AS d_zip, CONCAT(patients.status, order_tech_out,
order_tech_in, order_tech_in_transit) as pseudo_status , mobile_facility.requisition_fax, mobile_facility.station_list, mobile_facility.address1 as mf_addr1,
mobile_facility.address2 as mf_addr2, mobile_facility.city as mf_city, mobile_facility.state as mf_state, mobile_facility.zip as mf_zip,
mobile_facility.phone as mf_phone, mobile_facility.phone2 as mf_phone2, mobile_facility_service_areas.name as mf_service_area
FROM patients LEFT JOIN receivable_transactions ON patients.seq = receivable_transactions.patient_seq
LEFT JOIN patients_dispatch ON patients.seq = patients_dispatch.patient_seq
LEFT JOIN mobile_facility ON patients.location = mobile_facility.location AND patients.mobile_facility = mobile_facility.name
LEFT JOIN mobile_facility_service_areas ON mobile_facility.service_area = mobile_facility_service_areas.seq
WHERE patients.location = "XYZCompany" AND ((patients.appt_date >= '2020-03-19' AND patients.appt_date <= '2020-03-19 23:59:59')
OR (patients.appt_date <= '2020-03-19' AND patients.status < 'X'))
GROUP BY patients.seq DESC
ORDER BY patients.status, patients.order_entry_status, pseudo_status, patients.order_entry_status,patients.lastname);
CREATE TABLE `patients` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`person_seq` int(11) NOT NULL,
`firstname` varchar(20) NOT NULL DEFAULT '',
`lastname` varchar(30) NOT NULL DEFAULT '',
`middlename` varchar(20) NOT NULL DEFAULT '',
`ref` varchar(50) NOT NULL DEFAULT '',
`location` varchar(50) NOT NULL DEFAULT '',
`doctor` varchar(50) NOT NULL,
`radiologist` varchar(20) NOT NULL DEFAULT '',
`contract` varchar(50) NOT NULL,
`history` mediumtext NOT NULL,
`dob` varchar(15) NOT NULL DEFAULT '0000-00-00',
`appt_date` date NOT NULL DEFAULT '0000-00-00',
`status` tinyint(4) NOT NULL DEFAULT '0',
`tech` varchar(50) NOT NULL DEFAULT '',
`created` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`ss_comments` mediumtext NOT NULL,
`mobile_facility` varchar(60) NOT NULL DEFAULT '',
`facility_room_number` varchar(50) NOT NULL,
`facility_bed` varchar(20) NOT NULL,
`facility_station_name` varchar(50) NOT NULL,
`stat` tinyint(4) NOT NULL DEFAULT '0',
`have_paperwork` tinyint(4) NOT NULL DEFAULT '0',
`completed` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`sex` char(1) NOT NULL DEFAULT '',
`unique_hash` varchar(100) NOT NULL DEFAULT '',
`number_images` int(11) NOT NULL DEFAULT '0',
`client_number_images` int(11) NOT NULL,
`images_archived` tinyint(4) NOT NULL DEFAULT '0',
`completed_fax` varchar(10) NOT NULL DEFAULT '0' COMMENT 'This is the number the completed report is faxed to.',
`report_delivered` tinyint(4) NOT NULL DEFAULT '0',
`report_delivered_time` datetime NOT NULL,
`document_attached` tinyint(4) NOT NULL DEFAULT '0',
`modality` varchar(3) NOT NULL,
`last_image_archived` datetime NOT NULL,
`all_images_archived` tinyint(4) NOT NULL DEFAULT '0',
`fax_in_queue` varchar(12) NOT NULL,
`accession` varchar(100) NOT NULL,
`study_uid` varchar(100) NOT NULL,
`order_entry_status` tinyint(4) NOT NULL,
`compare_to` varchar(15) NOT NULL,
`state` varchar(3) NOT NULL,
`company` int(11) NOT NULL,
`second_access` varchar(50) NOT NULL,
`threshhold` datetime NOT NULL,
`report_status` tinyint(4) NOT NULL,
`second_id` varchar(50) NOT NULL,
`rad_alerted` tinyint(4) NOT NULL,
`assigned` datetime NOT NULL,
`findings_level` tinyint(4) NOT NULL,
`report_viewed` tinyint(4) NOT NULL,
`study_received` datetime NOT NULL,
`study_start` datetime NOT NULL,
`study_end` datetime NOT NULL,
`completed_email` varchar(50) NOT NULL,
`completed_send` varchar(255) NOT NULL,
`ssn` varchar(12) NOT NULL,
`exorder_number` varchar(30) NOT NULL,
`exvisit_number` varchar(30) NOT NULL,
`row_updated` timestamp NOT NULL ON UPDATE CURRENT_TIMESTAMP,
PRIMARY KEY (`seq`),
KEY `location` (`location`),
KEY `appt_date` (`appt_date`),
KEY `status` (`status`),
KEY `radiologist` (`radiologist`),
KEY `contract` (`contract`),
KEY `lastname` (`lastname`),
KEY `paperwork` (`have_paperwork`),
KEY `images_archived` (`images_archived`),
KEY `hash` (`unique_hash`),
KEY `created` (`created`),
KEY `document_attached` (`document_attached`),
KEY `all_images_archived` (`all_images_archived`),
KEY `last_image_archived` (`last_image_archived`),
KEY `modality` (`modality`),
KEY `study_uid` (`study_uid`),
KEY `company` (`company`),
KEY `second_access` (`second_access`),
KEY `firstname` (`firstname`),
KEY `report_delivered` (`report_delivered`),
KEY `ssn` (`ssn`),
KEY `order_entry_status` (`order_entry_status`),
KEY `dob` (`dob`),
KEY `tech` (`tech`),
KEY `doctor` (`doctor`),
KEY `mobile_facility` (`mobile_facility`),
KEY `accession` (`accession`),
KEY `location_appt_date` (`location`,`appt_date`),
KEY `location_created` (`location`,`created`),
KEY `location_lastname` (`location`,`lastname`),
KEY `ref` (`ref`),
KEY `person_seq` (`person_seq`)
) ENGINE=InnoDB AUTO_INCREMENT=10242952 DEFAULT CHARSET=latin1;
CREATE TABLE `receivable_transactions` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`patient_seq` int(11) NOT NULL DEFAULT '0',
`cptcode` varchar(15) NOT NULL DEFAULT '',
`modifier` char(2) NOT NULL DEFAULT '',
`description` varchar(100) NOT NULL DEFAULT '',
`amount` decimal(6,2) NOT NULL DEFAULT '0.00',
`type` char(2) NOT NULL DEFAULT '',
`transaction` varchar(10) NOT NULL DEFAULT '',
`radiologist` varchar(20) NOT NULL DEFAULT '',
`status` tinyint(4) NOT NULL DEFAULT '0',
`completed` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`created` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`report_meta_seq` int(11) NOT NULL DEFAULT '0',
`report_header` varchar(255) NOT NULL,
`report_body` blob NOT NULL,
`report_impression` mediumtext NOT NULL,
`report_hide` tinyint(4) NOT NULL,
`radiologist_group` varchar(50) NOT NULL,
`addendum` int(4) NOT NULL DEFAULT '0',
`addendum_type` varchar(20) NOT NULL,
`peer_review` int(4) NOT NULL DEFAULT '0',
`qa_reason` varchar(255) NOT NULL DEFAULT '',
`qa_agree` decimal(2,1) NOT NULL DEFAULT '0.0',
`findings` tinyint(4) NOT NULL,
`comments` mediumtext NOT NULL,
`company` int(11) NOT NULL,
`row_updated` timestamp NOT NULL ON UPDATE CURRENT_TIMESTAMP,
PRIMARY KEY (`seq`),
KEY `patient_seq` (`patient_seq`),
KEY `cptcode` (`cptcode`),
KEY `transaction` (`transaction`),
KEY `type` (`type`),
KEY `created` (`created`),
KEY `radiologist` (`radiologist`),
KEY `status` (`status`),
KEY `report_meta_seq` (`report_meta_seq`),
KEY `Billing Check Dropdown` (`status`,`completed`),
KEY `qa_agree` (`qa_agree`),
KEY `peer_review` (`peer_review`),
KEY `addendum` (`addendum`),
KEY `company` (`company`),
KEY `completed` (`completed`)
) ENGINE=InnoDB AUTO_INCREMENT=9380351 DEFAULT CHARSET=latin1;
CREATE TABLE `patients_dispatch` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`patient_seq` int(11) NOT NULL,
`order_taken` datetime NOT NULL,
`order_taken_by` varchar(50) NOT NULL,
`order_person_calling` varchar(50) NOT NULL,
`order_supervising_physician` varchar(50) NOT NULL,
`order_trip_count` tinyint(4) NOT NULL,
`order_trip_count_max` tinyint(4) NOT NULL,
`order_trip_visit` tinyint(4) NOT NULL,
`order_tech_in` datetime NOT NULL,
`order_tech_out` datetime NOT NULL,
`order_ssn` varchar(12) NOT NULL,
`order_service_request_time` datetime NOT NULL,
`order_reason` varchar(255) NOT NULL,
`order_tech_ack` datetime NOT NULL,
`order_tech_assigned` datetime NOT NULL,
`order_tech_last_notified` datetime NOT NULL,
`requisition_last_sent` datetime NOT NULL,
`requisition_signed` datetime NOT NULL,
`requisition_signed_by` varchar(50) NOT NULL,
`requisition_signed_by_text` varchar(75) NOT NULL,
`requisition_signed_by_file_seq` int(11) NOT NULL,
`order_comments` mediumtext NOT NULL,
`order_tech_in_transit` datetime NOT NULL,
`fasting` tinyint(1) NOT NULL,
`collection_time` time DEFAULT NULL,
`addr1` varchar(100) NOT NULL,
`addr2` varchar(100) NOT NULL,
`city` varchar(30) NOT NULL,
`state` varchar(3) NOT NULL,
`zip` varchar(12) NOT NULL,
`phone` varchar(15) NOT NULL,
`mileage_start` int(11) NOT NULL,
`mileage_end` int(11) NOT NULL,
PRIMARY KEY (`seq`),
KEY `patient_seq` (`patient_seq`)
) ENGINE=InnoDB AUTO_INCREMENT=2261091 DEFAULT CHARSET=latin1;
CREATE TABLE `mobile_facility` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`name` varchar(60) NOT NULL,
`location` varchar(50) DEFAULT NULL,
`address1` varchar(50) NOT NULL,
`address2` varchar(50) NOT NULL,
`city` varchar(50) NOT NULL,
`state` varchar(2) NOT NULL,
`zip` varchar(10) NOT NULL,
`phone` varchar(15) NOT NULL,
`phone2` varchar(15) NOT NULL,
`fax` varchar(110) NOT NULL,
`rads_can_read` text NOT NULL,
`rads_cant_read` text NOT NULL,
`only_techs` text NOT NULL,
`never_modalities` varchar(255) NOT NULL COMMENT 'A serialized list of modalities a facility may not use.',
`station_list` mediumtext NOT NULL,
`email` varchar(255) NOT NULL,
`misc1` varchar(255) NOT NULL,
`latitude` float NOT NULL DEFAULT '0',
`longitude` float NOT NULL DEFAULT '0',
`affiliation` int(11) NOT NULL COMMENT 'mobile_facility_affiliations seq',
`branch` int(11) NOT NULL COMMENT 'mobile_facility_branches seq',
`service_area` int(11) NOT NULL COMMENT 'mobile_facility_service_areas seq',
`other_id` varchar(50) NOT NULL COMMENT 'Usually used for HL7',
`facility_type` varchar(2) DEFAULT NULL,
`no_stat` tinyint(1) NOT NULL DEFAULT '0' COMMENT 'Should the facility allow stat priority on patients?',
`facility_notes` varchar(512) DEFAULT NULL,
`requisition_fax` varchar(110) NOT NULL,
`report_template` text NOT NULL,
`all_orders_stat` tinyint(1) NOT NULL,
`sms_notification` varchar(15) NOT NULL,
`tat` varchar(10) NOT NULL,
`npi` varchar(15) NOT NULL,
`NMXR` tinyint(4) NOT NULL DEFAULT '0',
`billing_type` varchar(10) NOT NULL,
`salesman` varchar(75) NOT NULL,
`created_at` datetime NOT NULL,
`updated_at` datetime NOT NULL,
`default_bill_to` tinyint(4) NOT NULL DEFAULT '0',
PRIMARY KEY (`seq`),
UNIQUE KEY `unique_index` (`name`,`location`),
KEY `name` (`name`),
KEY `location` (`location`)
) ENGINE=InnoDB AUTO_INCREMENT=155104 DEFAULT CHARSET=latin1;
CREATE TABLE `mobile_facility_service_areas` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`name` varchar(50) NOT NULL,
`location` varchar(50) NOT NULL,
PRIMARY KEY (`seq`)
) ENGINE=InnoDB AUTO_INCREMENT=841 DEFAULT CHARSET=latin1;
它仅使用 location 上的索引，但这只会将搜索范围缩小到大约 50 万行。您希望它使用索引进一步缩小 appt_date.
但是，在您的 WHERE 子句中使用 OR 会导致问题。它无法决定如何使用索引。
这是我的建议：
- 删除
location 上的索引，因为它与其他以 location 作为第一列的索引是多余的。
将 location_appt_date 上的索引替换为 location_appt_date_status 上的索引。
ALTER TABLE patients
DROP KEY location,
DROP KEY location_appt_date,
ADD KEY location_appt_date_status (location, appt_date, status);
重构查询以使用 UNION 而不是 OR:
SELECT ... (all the columns you have) ...
FROM (
SELECT * FROM patients USE INDEX (location_appt_date_status)
WHERE location = 'XYZCompany' AND appt_date >= '2020-03-19' AND appt_date < '2020-03-20'
UNION
SELECT * FROM patients USE INDEX (location_appt_date_status)
WHERE location = 'XYZCompany' AND appt_date <= '2020-03-19' AND status < 'X'
) AS p
LEFT JOIN receivable_transactions FORCE INDEX (patient_seq)
ON p.seq = receivable_transactions.patient_seq
LEFT JOIN patients_dispatch FORCE INDEX (patient_seq)
ON p.seq = patients_dispatch.patient_seq
INNER JOIN mobile_facility FORCE INDEX (unique_index)
ON p.location = mobile_facility.location AND p.mobile_facility = mobile_facility.name
INNER JOIN mobile_facility_service_areas FORCE INDEX (PRIMARY)
ON mobile_facility.service_area = mobile_facility_service_areas.seq
GROUP BY p.seq
ORDER BY p.status, p.order_entry_status, pseudo_status, p.order_entry_status, p.lastname
您可能不需要我使用的所有 USE INDEX() / FORCE INDEX() 优化器提示。我这样做是因为我正在使用空表进行测试，这可能会使优化器感到困惑。
让我关注对优化影响最大的部分：
FROM patients AS p
LEFT JOIN receivable_transactions AS rt ON p.seq = rt.patient_seq
LEFT JOIN patients_dispatch AS pd ON p.seq = pd.patient_seq
LEFT JOIN mobile_facility AS mf ON p.location = mf.location
AND p.mobile_facility AS mf = mf.name
LEFT JOIN mobile_facility_service_areas AS sa ON mf.service_area = sa.seq
WHERE p.location = "XYZCompany"
AND ((p.appt_date >= '2020-03-19'
AND p.appt_date <= '2020-03-19 23:59:59')
OR (p.appt_date <= '2020-03-19'
AND p.status < 'X')
)
GROUP BY p.seq DESC
ORDER BY p.status, p.order_entry_status, pseudo_status, p.order_entry_status,
p.lastname);
最大的问题是OR。它通常会阻止大多数优化。通常的解决方法是将其变成 UNION:
( SELECT ...
FROM .. JOIN ..
WHERE p.location = "XYZCompany"
AND p.appt_date >= '2020-03-19'
AND p.appt_date < '2020-03-19' + INTERVAL 1 DAY
...
)
UNION ALL
( SELECT ...
FROM .. JOIN ..
WHERE p.location = "XYZCompany"
AND p.appt_date <= '2020-03-19'
AND p.status < 'X'
...
)
每个 select 都可以从 patients 上的这个综合索引中受益：
(location, appt_date, status)
< 'X' 是有问题的，因为两个范围（appt_date 和状态）不能同时有效使用。 status 的可能值是多少？如果 'X' 之前只有一个值，比如 'M'，那么这样会好得多：p.status = 'M' 加上另一个索引：(location, status, appt_date)
SELECT lots of stuff, then GROUP BY p.seq -- 这是可能造成奇怪的结果。 （搜索 ONLY_FULL_GROUP_BY 以获得更多讨论）。 可能 最好首先获取 patients.seq 值（因为这是您过滤的全部），然后 加入另一个表。这将消除 GROUP BY，或者至少迫使您处理从每个其他表中获取的行。
range location_appt_date 55 573534 Using index condition; Using where; Using temporary; Using filesort -- 说
- 55 = 2+50（对于 varchar(50)）+ 3（对于日期）——两者都不为 NULL。
- 在55的基础上，我想知道它是否优化得很好以至于不需要OR->UNION。
- "Using index condition"内部称为ICP（Index Condition Pushdown），想深入了解
- "Using filesort" 可能是轻描淡写 -- 可能有两种，一种用于
GROUP BY，一种用于 ORDER BY。 EXPLAIN FORMAT=JSON SELECT ... 会说清楚。 （因此我暗示应该避免 GROUP BY。
你有一些多余的索引（与磁盘 space 无关）：INDEX(a,b), INDEX(a) --> 折腾 INDEX(a).
patients 的索引数量非常多。
其他表似乎有足够的索引供您查询。
我有一个根据搜索条件动态组合的复杂查询。然而，以其最简单的形式，它仍然非常慢。它运行的主要 table 有大约 1000 万条记录。我 运行 针对 'base' 查询进行了解释，并且解释的第一行看起来很糟糕（至少对于像我这样的新手 dba 而言）。我已经阅读了一些关于 EXPLAIN 的教程，但我仍然不确定如何修复查询。所以，结果的第一行似乎表明了问题，但我不知道该怎么办。即使我想，我也无法创建那么长的复合键，并且该 possible_keys 列中的某些字段名称甚至不在患者 table 中。任何帮助将不胜感激。
id,select_type,table,type,possible_keys,key,key_len,ref,rows,Extra
1,SIMPLE,patients,range,"PRIMARY,location,appt_date,status,radiologist,contract,lastname,paperwork,images_archived,hash,created,document_attached,all_images_archived,last_image_archived,modality,study_uid,company,second_access,firstname,report_delivered,ssn,order_entry_status,dob,tech,doctor,mobile_facility,accession,location_appt_date,location_created,location_lastname,ref,person_seq",location_appt_date,55,NULL,573534,"Using index condition; Using where; Using temporary; Using filesort"
1,SIMPLE,receivable_transactions,ref,patient_seq,patient_seq,4,ris-dev.patients.seq,1,NULL
1,SIMPLE,patients_dispatch,ref,patient_seq,patient_seq,4,ris-dev.patients.seq,1,NULL
1,SIMPLE,mobile_facility,ref,"unique_index,name,location",unique_index,115,"ris-dev.patients.mobile_facility,const",1,"Using where"
1,SIMPLE,mobile_facility_service_areas,eq_ref,PRIMARY,PRIMARY,4,ris-dev.mobile_facility.service_area,1,NULL
编辑：相同的 EXPLAIN，但重新格式化以便于阅读：
id select_type table type possible_keys key key_len ref rows Extra
1 SIMPLE patients range PRIMARY location_appt_date 55 NULL 573534 Using index condition; Using where; Using temporary; Using filesort
location
appt_date
status
radiologist
contract
lastname
paperwork
images_archived
hash
created
document_attached
all_images_archived
last_image_archived
modality
study_uid
company
second_access
firstname
report_delivered
ssn
order_entry_status
dob
tech
doctor
mobile_facility
accession
location_appt_date
location_created
location_lastname
ref
person_seq
1 SIMPLE receivable_transactions ref patient_seq patient_seq 4 ris-dev.patients.seq 1 NULL
1 SIMPLE patients_dispatch ref patient_seq patient_seq 4 ris-dev.patients.seq 1 NULL
1 SIMPLE mobile_facility ref unique_index unique_index 115 ris-dev.patients.mobile_facility,const 1 Using where
name
location
1 SIMPLE mobile_facility_service_areas eq_ref PRIMARY PRIMARY 4 ris-dev.mobile_facility.service_area 1 NULL
解释是针对以下查询和 table 结构设置的。
SELECT patients.fax_in_queue, patients.modality, patients.stat, patients.created, patients.seq, patients.lastname,
patients.firstname, patients.appt_date, patients.status, patients.contract, patients.location, patients.unique_hash,
patients.images_archived, patients.report_delivered, patients.doctor, patients.mobile_facility, patients.history,
patients.dob, patients.all_images_archived, patients.order_entry_status, patients.tech, patients.radiologist,
patients.last_image_archived, patients.state, patients.ss_comments, patients.completed, patients.report_status,
patients.have_paperwork, patients.facility_room_number, patients.facility_station_name, patients.facility_bed,
patients.findings_level, patients.document_attached, patients.study_start, patients.company, patients.accession,
patients.number_images, patients.client_number_images, patients.sex, patients.threshhold , GROUP_CONCAT(CONCAT(CONCAT(receivable_transactions.modifier, " "),
receivable_transactions.description) SEPARATOR ", ") AS rt_desc , patients_dispatch.seq AS doc_seq, patients_dispatch.requisition_last_sent,
patients_dispatch.requisition_signed_by_file_seq, patients_dispatch.requisition_signed, patients_dispatch.order_reason, patients_dispatch.order_comments,
patients_dispatch.order_taken, patients_dispatch.order_tech_last_notified, patients_dispatch.order_tech_in_transit, patients_dispatch.order_tech_in,
patients_dispatch.order_tech_out, patients_dispatch.order_tech_ack, patients_dispatch.addr1 AS d_addr1, patients_dispatch.addr2 AS d_addr2,
patients_dispatch.city AS d_city, patients_dispatch.state AS d_state, patients_dispatch.zip AS d_zip, CONCAT(patients.status, order_tech_out,
order_tech_in, order_tech_in_transit) as pseudo_status , mobile_facility.requisition_fax, mobile_facility.station_list, mobile_facility.address1 as mf_addr1,
mobile_facility.address2 as mf_addr2, mobile_facility.city as mf_city, mobile_facility.state as mf_state, mobile_facility.zip as mf_zip,
mobile_facility.phone as mf_phone, mobile_facility.phone2 as mf_phone2, mobile_facility_service_areas.name as mf_service_area
FROM patients LEFT JOIN receivable_transactions ON patients.seq = receivable_transactions.patient_seq
LEFT JOIN patients_dispatch ON patients.seq = patients_dispatch.patient_seq
LEFT JOIN mobile_facility ON patients.location = mobile_facility.location AND patients.mobile_facility = mobile_facility.name
LEFT JOIN mobile_facility_service_areas ON mobile_facility.service_area = mobile_facility_service_areas.seq
WHERE patients.location = "XYZCompany" AND ((patients.appt_date >= '2020-03-19' AND patients.appt_date <= '2020-03-19 23:59:59')
OR (patients.appt_date <= '2020-03-19' AND patients.status < 'X'))
GROUP BY patients.seq DESC
ORDER BY patients.status, patients.order_entry_status, pseudo_status, patients.order_entry_status,patients.lastname);
CREATE TABLE `patients` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`person_seq` int(11) NOT NULL,
`firstname` varchar(20) NOT NULL DEFAULT '',
`lastname` varchar(30) NOT NULL DEFAULT '',
`middlename` varchar(20) NOT NULL DEFAULT '',
`ref` varchar(50) NOT NULL DEFAULT '',
`location` varchar(50) NOT NULL DEFAULT '',
`doctor` varchar(50) NOT NULL,
`radiologist` varchar(20) NOT NULL DEFAULT '',
`contract` varchar(50) NOT NULL,
`history` mediumtext NOT NULL,
`dob` varchar(15) NOT NULL DEFAULT '0000-00-00',
`appt_date` date NOT NULL DEFAULT '0000-00-00',
`status` tinyint(4) NOT NULL DEFAULT '0',
`tech` varchar(50) NOT NULL DEFAULT '',
`created` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`ss_comments` mediumtext NOT NULL,
`mobile_facility` varchar(60) NOT NULL DEFAULT '',
`facility_room_number` varchar(50) NOT NULL,
`facility_bed` varchar(20) NOT NULL,
`facility_station_name` varchar(50) NOT NULL,
`stat` tinyint(4) NOT NULL DEFAULT '0',
`have_paperwork` tinyint(4) NOT NULL DEFAULT '0',
`completed` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`sex` char(1) NOT NULL DEFAULT '',
`unique_hash` varchar(100) NOT NULL DEFAULT '',
`number_images` int(11) NOT NULL DEFAULT '0',
`client_number_images` int(11) NOT NULL,
`images_archived` tinyint(4) NOT NULL DEFAULT '0',
`completed_fax` varchar(10) NOT NULL DEFAULT '0' COMMENT 'This is the number the completed report is faxed to.',
`report_delivered` tinyint(4) NOT NULL DEFAULT '0',
`report_delivered_time` datetime NOT NULL,
`document_attached` tinyint(4) NOT NULL DEFAULT '0',
`modality` varchar(3) NOT NULL,
`last_image_archived` datetime NOT NULL,
`all_images_archived` tinyint(4) NOT NULL DEFAULT '0',
`fax_in_queue` varchar(12) NOT NULL,
`accession` varchar(100) NOT NULL,
`study_uid` varchar(100) NOT NULL,
`order_entry_status` tinyint(4) NOT NULL,
`compare_to` varchar(15) NOT NULL,
`state` varchar(3) NOT NULL,
`company` int(11) NOT NULL,
`second_access` varchar(50) NOT NULL,
`threshhold` datetime NOT NULL,
`report_status` tinyint(4) NOT NULL,
`second_id` varchar(50) NOT NULL,
`rad_alerted` tinyint(4) NOT NULL,
`assigned` datetime NOT NULL,
`findings_level` tinyint(4) NOT NULL,
`report_viewed` tinyint(4) NOT NULL,
`study_received` datetime NOT NULL,
`study_start` datetime NOT NULL,
`study_end` datetime NOT NULL,
`completed_email` varchar(50) NOT NULL,
`completed_send` varchar(255) NOT NULL,
`ssn` varchar(12) NOT NULL,
`exorder_number` varchar(30) NOT NULL,
`exvisit_number` varchar(30) NOT NULL,
`row_updated` timestamp NOT NULL ON UPDATE CURRENT_TIMESTAMP,
PRIMARY KEY (`seq`),
KEY `location` (`location`),
KEY `appt_date` (`appt_date`),
KEY `status` (`status`),
KEY `radiologist` (`radiologist`),
KEY `contract` (`contract`),
KEY `lastname` (`lastname`),
KEY `paperwork` (`have_paperwork`),
KEY `images_archived` (`images_archived`),
KEY `hash` (`unique_hash`),
KEY `created` (`created`),
KEY `document_attached` (`document_attached`),
KEY `all_images_archived` (`all_images_archived`),
KEY `last_image_archived` (`last_image_archived`),
KEY `modality` (`modality`),
KEY `study_uid` (`study_uid`),
KEY `company` (`company`),
KEY `second_access` (`second_access`),
KEY `firstname` (`firstname`),
KEY `report_delivered` (`report_delivered`),
KEY `ssn` (`ssn`),
KEY `order_entry_status` (`order_entry_status`),
KEY `dob` (`dob`),
KEY `tech` (`tech`),
KEY `doctor` (`doctor`),
KEY `mobile_facility` (`mobile_facility`),
KEY `accession` (`accession`),
KEY `location_appt_date` (`location`,`appt_date`),
KEY `location_created` (`location`,`created`),
KEY `location_lastname` (`location`,`lastname`),
KEY `ref` (`ref`),
KEY `person_seq` (`person_seq`)
) ENGINE=InnoDB AUTO_INCREMENT=10242952 DEFAULT CHARSET=latin1;
CREATE TABLE `receivable_transactions` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`patient_seq` int(11) NOT NULL DEFAULT '0',
`cptcode` varchar(15) NOT NULL DEFAULT '',
`modifier` char(2) NOT NULL DEFAULT '',
`description` varchar(100) NOT NULL DEFAULT '',
`amount` decimal(6,2) NOT NULL DEFAULT '0.00',
`type` char(2) NOT NULL DEFAULT '',
`transaction` varchar(10) NOT NULL DEFAULT '',
`radiologist` varchar(20) NOT NULL DEFAULT '',
`status` tinyint(4) NOT NULL DEFAULT '0',
`completed` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`created` datetime NOT NULL DEFAULT '0000-00-00 00:00:00',
`report_meta_seq` int(11) NOT NULL DEFAULT '0',
`report_header` varchar(255) NOT NULL,
`report_body` blob NOT NULL,
`report_impression` mediumtext NOT NULL,
`report_hide` tinyint(4) NOT NULL,
`radiologist_group` varchar(50) NOT NULL,
`addendum` int(4) NOT NULL DEFAULT '0',
`addendum_type` varchar(20) NOT NULL,
`peer_review` int(4) NOT NULL DEFAULT '0',
`qa_reason` varchar(255) NOT NULL DEFAULT '',
`qa_agree` decimal(2,1) NOT NULL DEFAULT '0.0',
`findings` tinyint(4) NOT NULL,
`comments` mediumtext NOT NULL,
`company` int(11) NOT NULL,
`row_updated` timestamp NOT NULL ON UPDATE CURRENT_TIMESTAMP,
PRIMARY KEY (`seq`),
KEY `patient_seq` (`patient_seq`),
KEY `cptcode` (`cptcode`),
KEY `transaction` (`transaction`),
KEY `type` (`type`),
KEY `created` (`created`),
KEY `radiologist` (`radiologist`),
KEY `status` (`status`),
KEY `report_meta_seq` (`report_meta_seq`),
KEY `Billing Check Dropdown` (`status`,`completed`),
KEY `qa_agree` (`qa_agree`),
KEY `peer_review` (`peer_review`),
KEY `addendum` (`addendum`),
KEY `company` (`company`),
KEY `completed` (`completed`)
) ENGINE=InnoDB AUTO_INCREMENT=9380351 DEFAULT CHARSET=latin1;
CREATE TABLE `patients_dispatch` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`patient_seq` int(11) NOT NULL,
`order_taken` datetime NOT NULL,
`order_taken_by` varchar(50) NOT NULL,
`order_person_calling` varchar(50) NOT NULL,
`order_supervising_physician` varchar(50) NOT NULL,
`order_trip_count` tinyint(4) NOT NULL,
`order_trip_count_max` tinyint(4) NOT NULL,
`order_trip_visit` tinyint(4) NOT NULL,
`order_tech_in` datetime NOT NULL,
`order_tech_out` datetime NOT NULL,
`order_ssn` varchar(12) NOT NULL,
`order_service_request_time` datetime NOT NULL,
`order_reason` varchar(255) NOT NULL,
`order_tech_ack` datetime NOT NULL,
`order_tech_assigned` datetime NOT NULL,
`order_tech_last_notified` datetime NOT NULL,
`requisition_last_sent` datetime NOT NULL,
`requisition_signed` datetime NOT NULL,
`requisition_signed_by` varchar(50) NOT NULL,
`requisition_signed_by_text` varchar(75) NOT NULL,
`requisition_signed_by_file_seq` int(11) NOT NULL,
`order_comments` mediumtext NOT NULL,
`order_tech_in_transit` datetime NOT NULL,
`fasting` tinyint(1) NOT NULL,
`collection_time` time DEFAULT NULL,
`addr1` varchar(100) NOT NULL,
`addr2` varchar(100) NOT NULL,
`city` varchar(30) NOT NULL,
`state` varchar(3) NOT NULL,
`zip` varchar(12) NOT NULL,
`phone` varchar(15) NOT NULL,
`mileage_start` int(11) NOT NULL,
`mileage_end` int(11) NOT NULL,
PRIMARY KEY (`seq`),
KEY `patient_seq` (`patient_seq`)
) ENGINE=InnoDB AUTO_INCREMENT=2261091 DEFAULT CHARSET=latin1;
CREATE TABLE `mobile_facility` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`name` varchar(60) NOT NULL,
`location` varchar(50) DEFAULT NULL,
`address1` varchar(50) NOT NULL,
`address2` varchar(50) NOT NULL,
`city` varchar(50) NOT NULL,
`state` varchar(2) NOT NULL,
`zip` varchar(10) NOT NULL,
`phone` varchar(15) NOT NULL,
`phone2` varchar(15) NOT NULL,
`fax` varchar(110) NOT NULL,
`rads_can_read` text NOT NULL,
`rads_cant_read` text NOT NULL,
`only_techs` text NOT NULL,
`never_modalities` varchar(255) NOT NULL COMMENT 'A serialized list of modalities a facility may not use.',
`station_list` mediumtext NOT NULL,
`email` varchar(255) NOT NULL,
`misc1` varchar(255) NOT NULL,
`latitude` float NOT NULL DEFAULT '0',
`longitude` float NOT NULL DEFAULT '0',
`affiliation` int(11) NOT NULL COMMENT 'mobile_facility_affiliations seq',
`branch` int(11) NOT NULL COMMENT 'mobile_facility_branches seq',
`service_area` int(11) NOT NULL COMMENT 'mobile_facility_service_areas seq',
`other_id` varchar(50) NOT NULL COMMENT 'Usually used for HL7',
`facility_type` varchar(2) DEFAULT NULL,
`no_stat` tinyint(1) NOT NULL DEFAULT '0' COMMENT 'Should the facility allow stat priority on patients?',
`facility_notes` varchar(512) DEFAULT NULL,
`requisition_fax` varchar(110) NOT NULL,
`report_template` text NOT NULL,
`all_orders_stat` tinyint(1) NOT NULL,
`sms_notification` varchar(15) NOT NULL,
`tat` varchar(10) NOT NULL,
`npi` varchar(15) NOT NULL,
`NMXR` tinyint(4) NOT NULL DEFAULT '0',
`billing_type` varchar(10) NOT NULL,
`salesman` varchar(75) NOT NULL,
`created_at` datetime NOT NULL,
`updated_at` datetime NOT NULL,
`default_bill_to` tinyint(4) NOT NULL DEFAULT '0',
PRIMARY KEY (`seq`),
UNIQUE KEY `unique_index` (`name`,`location`),
KEY `name` (`name`),
KEY `location` (`location`)
) ENGINE=InnoDB AUTO_INCREMENT=155104 DEFAULT CHARSET=latin1;
CREATE TABLE `mobile_facility_service_areas` (
`seq` int(11) NOT NULL AUTO_INCREMENT,
`name` varchar(50) NOT NULL,
`location` varchar(50) NOT NULL,
PRIMARY KEY (`seq`)
) ENGINE=InnoDB AUTO_INCREMENT=841 DEFAULT CHARSET=latin1;
它仅使用 location 上的索引，但这只会将搜索范围缩小到大约 50 万行。您希望它使用索引进一步缩小 appt_date.
但是，在您的 WHERE 子句中使用 OR 会导致问题。它无法决定如何使用索引。
这是我的建议：
- 删除
location上的索引，因为它与其他以location作为第一列的索引是多余的。 将
location_appt_date上的索引替换为location_appt_date_status上的索引。ALTER TABLE patients DROP KEY location, DROP KEY location_appt_date, ADD KEY location_appt_date_status (location, appt_date, status);重构查询以使用
UNION而不是OR:SELECT ... (all the columns you have) ... FROM ( SELECT * FROM patients USE INDEX (location_appt_date_status) WHERE location = 'XYZCompany' AND appt_date >= '2020-03-19' AND appt_date < '2020-03-20' UNION SELECT * FROM patients USE INDEX (location_appt_date_status) WHERE location = 'XYZCompany' AND appt_date <= '2020-03-19' AND status < 'X' ) AS p LEFT JOIN receivable_transactions FORCE INDEX (patient_seq) ON p.seq = receivable_transactions.patient_seq LEFT JOIN patients_dispatch FORCE INDEX (patient_seq) ON p.seq = patients_dispatch.patient_seq INNER JOIN mobile_facility FORCE INDEX (unique_index) ON p.location = mobile_facility.location AND p.mobile_facility = mobile_facility.name INNER JOIN mobile_facility_service_areas FORCE INDEX (PRIMARY) ON mobile_facility.service_area = mobile_facility_service_areas.seq GROUP BY p.seq ORDER BY p.status, p.order_entry_status, pseudo_status, p.order_entry_status, p.lastname
您可能不需要我使用的所有 USE INDEX() / FORCE INDEX() 优化器提示。我这样做是因为我正在使用空表进行测试，这可能会使优化器感到困惑。
让我关注对优化影响最大的部分：
FROM patients AS p
LEFT JOIN receivable_transactions AS rt ON p.seq = rt.patient_seq
LEFT JOIN patients_dispatch AS pd ON p.seq = pd.patient_seq
LEFT JOIN mobile_facility AS mf ON p.location = mf.location
AND p.mobile_facility AS mf = mf.name
LEFT JOIN mobile_facility_service_areas AS sa ON mf.service_area = sa.seq
WHERE p.location = "XYZCompany"
AND ((p.appt_date >= '2020-03-19'
AND p.appt_date <= '2020-03-19 23:59:59')
OR (p.appt_date <= '2020-03-19'
AND p.status < 'X')
)
GROUP BY p.seq DESC
ORDER BY p.status, p.order_entry_status, pseudo_status, p.order_entry_status,
p.lastname);
最大的问题是OR。它通常会阻止大多数优化。通常的解决方法是将其变成 UNION:
( SELECT ...
FROM .. JOIN ..
WHERE p.location = "XYZCompany"
AND p.appt_date >= '2020-03-19'
AND p.appt_date < '2020-03-19' + INTERVAL 1 DAY
...
)
UNION ALL
( SELECT ...
FROM .. JOIN ..
WHERE p.location = "XYZCompany"
AND p.appt_date <= '2020-03-19'
AND p.status < 'X'
...
)
每个 select 都可以从 patients 上的这个综合索引中受益：
(location, appt_date, status)
< 'X' 是有问题的，因为两个范围（appt_date 和状态）不能同时有效使用。 status 的可能值是多少？如果 'X' 之前只有一个值，比如 'M'，那么这样会好得多：p.status = 'M' 加上另一个索引：(location, status, appt_date)
SELECT lots of stuff, then GROUP BY p.seq -- 这是可能造成奇怪的结果。 （搜索 ONLY_FULL_GROUP_BY 以获得更多讨论）。 可能 最好首先获取 patients.seq 值（因为这是您过滤的全部），然后 加入另一个表。这将消除 GROUP BY，或者至少迫使您处理从每个其他表中获取的行。
range location_appt_date 55 573534 Using index condition; Using where; Using temporary; Using filesort -- 说
- 55 = 2+50（对于 varchar(50)）+ 3（对于日期）——两者都不为 NULL。
- 在55的基础上，我想知道它是否优化得很好以至于不需要OR->UNION。
- "Using index condition"内部称为ICP（Index Condition Pushdown），想深入了解
- "Using filesort" 可能是轻描淡写 -- 可能有两种，一种用于
GROUP BY，一种用于ORDER BY。EXPLAIN FORMAT=JSON SELECT ...会说清楚。 （因此我暗示应该避免GROUP BY。
你有一些多余的索引（与磁盘 space 无关）：INDEX(a,b), INDEX(a) --> 折腾 INDEX(a).
patients 的索引数量非常多。
其他表似乎有足够的索引供您查询。