Database Services for Healthcare & Life Sciences

Identifies clinical EHR blocking transactions and blocked PIDs holding locks on patient tables without locking catalog tables.

-- Identify clinical EHR blocking transactions and blocked PIDs
SELECT blocked_locks.pid     AS blocked_pid,
       blocked_activity.usename  AS blocked_user,
       blocking_locks.pid    AS blocking_pid,
       blocking_activity.usename AS blocking_user,
       blocked_activity.query    AS blocked_statement,
       blocking_activity.query   AS blocking_statement,
       blocked_activity.wait_event_type,
       blocked_activity.wait_event
FROM pg_catalog.pg_locks blocked_locks
JOIN pg_catalog.pg_stat_activity blocked_activity
  ON blocked_activity.pid = blocked_locks.pid
JOIN pg_catalog.pg_locks blocking_locks
  ON blocking_locks.locktype = blocked_locks.locktype
 AND blocking_locks.database IS NOT DISTINCT FROM blocked_locks.database
 AND blocking_locks.relation IS NOT DISTINCT FROM blocked_locks.relation
 AND blocking_locks.pid != blocked_locks.pid
JOIN pg_catalog.pg_stat_activity blocking_activity
  ON blocking_activity.pid = blocking_locks.pid
WHERE NOT blocked_locks.granted;

Inspects active clinical worker threads and maps InnoDB lock wait relationships between contending EHR updates.

-- 1. Inspect non-sleeping clinical queries running > 1 second
SELECT id, user, host, db, command, time, state,
       LEFT(info, 120) AS running_clinical_query
FROM information_schema.processlist
WHERE command != 'Sleep' AND time > 1
ORDER BY time DESC LIMIT 10;

-- 2. Inspect InnoDB data lock waits on clinical encounter tables
SELECT r.trx_id waiting_trx, r.trx_mysql_thread_id waiting_thread,
       b.trx_id blocking_trx, b.trx_mysql_thread_id blocking_thread
FROM performance_schema.data_lock_waits w
JOIN performance_schema.data_locks r ON r.engine_lock_id = w.requesting_engine_lock_id
JOIN performance_schema.data_locks b ON b.engine_lock_id = w.blocking_engine_lock_id;