```xml
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<ns4:query_definition xmlns:ns2="http://www.i2b2.org/xsd/cell/crc/psm/1.1/" xmlns:ns4="http://www.i2b2.org/xsd/cell/crc/psm/querydefinition/1.1/" xmlns:ns3="http://www.i2b2.org/xsd/cell/crc/psm/analysisdefinition/1.1/">
    <query_name>Essenti-Diabete@10:26:03</query_name>
    <query_timing>SAMEVISIT</query_timing>
    <specificity_scale>0</specificity_scale>
    <panel>
        <panel_number>1</panel_number>
        <panel_timing>SAMEVISIT</panel_timing>
        <panel_accuracy_scale>100</panel_accuracy_scale>
        <invert>0</invert>
        <total_item_occurrences>1</total_item_occurrences>
        <item>
            <hlevel>4</hlevel>
            <item_name>Essential hypertension</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Circulatory system (390-459)\Hypertensive disease (401-405)\(401) Essential hypertension\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Circulatory system \ Hypertensive disease \ Essential hypertension</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>Diabetes mellitus</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Endocrine disorders (240-259)\Other endocrine gland diseases (250-259)\(250) Diabetes mellitus\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Endocrine disorders \ Other endocrine gland diseases \ Diabetes mellitus</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>2</panel_number>
        <panel_timing>SAMEVISIT</panel_timing>
        <panel_accuracy_scale>100</panel_accuracy_scale>
        <invert>0</invert>
        <total_item_occurrences>1</total_item_occurrences>
        <item>
            <hlevel>4</hlevel>
            <item_name>Diabetes mellitus</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Endocrine disorders (240-259)\Other endocrine gland diseases (250-259)\(250) Diabetes mellitus\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Endocrine disorders \ Other endocrine gland diseases \ Diabetes mellitus</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients with a diagnosis of Essential hypertension and Diabetes mellitus within the same visit, with a specificity scale of 0 and an accuracy scale of 1000%. The query will include two panels: the first panel will search for Essential hypertension and Diabetes mellitus, while the second panel will search for Diabetes mellitus only. Both panels will have the same visit timing and accuracy scale, and the query will not be inverted. The items will be classified as ENC (Encounter) and will not be considered synonyms.