[Solved] Efficiently selecting latest charge per patient

How to optimize this SQL query?

In case you have your own slow SQL query, you can optimize it automatically here.

For the query above, the following recommendations will be helpful as part of the SQL tuning process.
You'll find 3 sections below:

  1. Description of the steps you can take to speed up the query.
  2. The optimal indexes for this query, which you can copy and create in your database.
  3. An automatically re-written query you can copy and execute in your database.
The optimization process and recommendations:
  1. Create Optimal Indexes (modified query below): The recommended indexes are an integral part of this optimization effort and should be created before testing the execution duration of the optimized query.
Optimal indexes for this query:
CREATE INDEX appt_idx_patientid ON Appt (PatientID);
CREATE INDEX apptcpt_idx_apptid ON ApptCPT (ApptID);
The optimized query:
SELECT
        p.ID AS PatientID,
        MAX(ac.ID) AS ApptCPTID,
        ac.CPTID 
    FROM
        Patient p 
    INNER JOIN
        Appt a 
            ON a.PatientID = p.ID 
    INNER JOIN
        ApptCPT ac 
            ON ac.ApptID = a.ID 
    GROUP BY
        p.ID,
        ac.CPTID 
    ORDER BY
        p.ID,
        ac.CPTID

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* original question posted on StackOverflow here.