###HUMAN: has patient 009-13409 received a procedure until 4 years ago., ###ASSISTANT: SELECT COUNT(*) > 0 FROM treatment WHERE treatment.patientunitstayid IN (SELECT patient.patientunitstayid FROM patient WHERE patient.patienthealthsystemstayid IN (SELECT patient.patienthealthsystemstayid FROM patient WHERE patient.uniquepid = '009-13409')) AND DATETIME(treatment.treatmenttime) <= DATETIME(CURRENT_TIME(), '-4 year')