if(datediff(b.admission_time,
CONCAT(substring(b.admission_time, 0, 4),
substring(b.date_of_birth, 5, 7)))>= 0,
(substring(b.admission_time, 0, 4) - substring(b.date_of_birth, 0, 4)),
(substring(b.admission_time, 0, 4) - substring(b.date_of_birth, 0, 4)-1)) as year_dv