Alternate for Indexing

Question

We need result from Table based on datetime filter. But it working slow in mysql. I can't implement indexing on date & timestamp columns due to it will slow our insertion/updation. So can you please suggest any alternate for select the data quickly based on date and datetime filter with better performance.

SQL Query :

SELECT   *
FROM     (
          SELECT  id
                  , title
                  , language
                  , lang_code
                  , financial
                  , fname
                  , lname
                  , mname
                  , mname_br
                  , suffix
                  , CASE WHEN DOB='0000-00-00' THEN NULL ELSE DOB END AS DOB
                  , street
                  , street2
                  , postal_code
                  , zip_ext
                  , city
                  , state
                  , country_code
                  , phone_home
                  , phone_biz
                  , phone_biz_ext
                  , phone_contact
                  , phone_cell
                  , status
                  , CASE WHEN date='0000-00-00 00:00:00' THEN NULL ELSE
                    CAST(date as datetime) END AS date
                  , sex
                  , referrer
                  , referrerID
                  , providerID
                  , ethnoracial
                  , pid
                  , temp_key
                  , primary_care
                  , default_facility
                  , created_by
                  , patientStatus
                  , primary_care_id
                  , Sec_HCFA
                  , noBalanceBill
                  , erx_entry
                  , erx_patient_id
                  , athenaID
                  , CASE WHEN licenseDate='0000-00-00 00:00:00' THEN NULL ELSE  licenseDate end as licenseDate
                  , race
                  , otherRace
                  , ethnicity
                  , otherEthnicity
                  , primary_care_phy_name
                  , primary_care_phy_id
                  , CASE WHEN dod_patient='0000-00-00' THEN NULL ELSE dod_patient END AS dod_patient-- 
                  , locked-- 
                  , co_man_phy-- 
                  , co_man_phy_id-- 
                  , vip-- 
                  , External_MRN_1-- 
                  , External_MRN_2-- 
                  , External_MRN_3-- 
                  , External_MRN_4
                  , as_id
                  , CASE WHEN acc_statement_date='0000-00-00' THEN acc_statement_date END AS acc_statement_date
                  , CASE WHEN timestamp='0000-00-00 00:00:00' THEN NULL ELSE timestamp END AS timestamp
                  , api_id
                  , fmh_pt_status
                  , race_code
                  , ethnicity_code
                  , patient_payer
                  , CASE WHEN date='0000-00-00 00:00:00' THEN NULL ELSE date END AS transfer_created
                  ,CASE  WHEN timestamp='0000-00-00 00:00:00' THEN NULL ELSE timestamp END AS transfer_updated
                  ,CASE  WHEN date > '2020-11-10 00:00:00' THEN 'new' ELSE 'changed' END AS flagfield
                  ,CASE  WHEN date='0000-00-00 00:00:00' THEN NULL ELSE date END AS sortdate
          FROM patient_data
          WHERE (date > '2020-11-10 00:00:00' or timestamp > '2019-04-01 19:53:57-04')
          AND month(date) > 0)t
          ORDER BY flagfield desc,
                  sortdate;
         )

id Column has indexing in the table

Answer 1

Get rid of

SELECT   *
FROM     (
         )t

it adds nothing, except to slow things down.

Let's focus on

  SELECT id
      FROM patient_data
      WHERE (date > '2020-11-10 00:00:00'
           or timestamp > '2019-04-01 19:53:57-04')
      AND month(date) > 0

Does that shortened query run "too slow"? If not, then we can use that as a derived table to see if that will speed it up. If so, then we will need to get into UNION and indexing.