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CREATE TABLE ClusterTests (
TestId INTEGER,
Cluster VARCHAR(1),
TestDate DATETIME,
TestResult VARCHAR(8)
);

INSERT INTO ClusterTests
(TestId, Cluster, TestDate, TestResult)
VALUES
('1', 'A', '2019-01-01', 'Accepted'),
('2', 'A', '2019-01-15', 'Rejected'),
('3', 'B', '2019-01-01', 'Accepted'),
('4', 'B', '2019-01-15', 'Accepted');
4 rows affected
with cte as (
select cluster, CONVERT(NVARCHAR(7), TestDate, 120) Month, testid
from ClusterTests
where testresult = 'Accepted'
)
select c.* from cte c
where not exists (
select 1 from cte
where cluster = c.cluster and testid > c.testid and month = c.month
)
cluster Month testid
A 2019-01 1
B 2019-01 4