when had patient 46484 in 2103 get the last procedure?
select procedures_icd.charttime from procedures_icd where procedures_icd.hadm_id in ( select admissions.hadm_id from admissions where admissions.subject_id = 46484 ) and strftime('%y',procedures_icd.charttime) = '2103' order by procedures_icd.charttime desc limit 1