Optimize getQueueEntries query performance - reduce joins from 59 to 11

[shubhangiisinghh]

Problem

The getQueueEntries method in QueueEntryDaoImpl was generating SQL queries with 59 joins, causing severe performance degradation even with small datasets (<50 queue entries).

As reported in the OpenMRS Talk thread, the query was:

• 800+ lines of SQL
• 59 total joins (54 LEFT OUTER + 5 INNER)
• Joining users table 13 times for audit trails
• Joining concepts table 18 times (base + numeric + complex variants)
• Joining locations 4 times with all 15 address fields each
• Fetching massive amounts of unused data

Solution

Replaced the Criteria API implementation with an optimized HQL query using explicit fetch joins.

Changes:

• Use HQL with JOIN FETCH to control exactly which relationships are loaded
• Only fetch data actually needed by the UI:
  • queue (for queue name)
  • patient (for patient info)
  • priority (for priority display)
  • status (for status display)
  • visit (optional, for visit info)
  • queueComingFrom (optional, for queue transitions)
• Eliminate eager loading of unnecessary audit data and concept variants
• Maintain all existing search filter functionality

Results

Before: 59 joins
After: 11 joins
Reduction: 81% fewer joins

Expected performance improvement: 60-80% faster response times based on similar optimizations in the FHIR2 module.

Testing

• ✅ Code compiles successfully
• ✅ Module deploys without errors
• ✅ Query executes correctly with test data
• ✅ All search filters still work (queues, patient, visit, statuses, priorities, date ranges, etc.)
• ✅ SQL logs confirm optimized query structure
• ✅ Service Queues UI functions normally

Before (59 joins):

The original query joined:

• Users: 13 times
• Concepts: 18 times (6 concepts × 3 variants each)
• Locations: 4 times
• Plus patient, person, queue, visit, provider entities

After (11 joins):

Optimized query only joins:

• queue (1 join)
• patient + person (2 joins)
• priority concept + variants (3 joins)
• status concept + variants (3 joins)
• visit (1 join)
• queueComingFrom (1 join)

Impact

This optimization directly benefits OpenMRS implementers running service queues in production, particularly those in larger facilities with high patient volumes. The performance improvement will be most noticeable during peak clinic hours.

Related Issues

• Talk discussion: https://talk.openmrs.org/t/patient-queue-module-performance-issue/47627

[shubhangiisinghh]

Technical Notes for Reviewers

The root cause of the 59 joins was the default eager fetching behavior of @ManyToOne relationships in the QueueEntry entity. While the Criteria API approach in the DAO only created 2 explicit joins, Hibernate was automatically loading all related entities eagerly.

The HQL approach with explicit JOIN FETCH gives us precise control over what gets loaded, preventing the cascade of unnecessary eager fetches.

Files changed:

• api/src/main/java/org/openmrs/module/queue/api/dao/impl/QueueEntryDaoImpl.java

Method modified:

• getQueueEntries(QueueEntrySearchCriteria searchCriteria)

The new implementation maintains 100% backward compatibility - all search criteria still work exactly as before, just much faster.

[dkayiwa]

Did you get a chance to look at this? https://openmrs.atlassian.net/wiki/spaces/docs/pages/25477199/Pull+Request+Tips