since 2103, when did patient 27656 receive a procedure for the first time?
select procedures_icd.charttime from procedures_icd where procedures_icd.hadm_id in ( select admissions.hadm_id from admissions where admissions.subject_id = 27656 ) and strftime('%y',procedures_icd.charttime) >= '2103' order by procedures_icd.charttime asc limit 1