```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>Rheumatoid arthritis with rheumatoid factor@10:46:45</query_name>
    <query_timing>ANY</query_timing>
    <specificity_scale>0</specificity_scale>
    <panel>
        <panel_number>1</panel_number>
        <panel_timing>ANY</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>Rheumatoid arthritis with rheumatoid factor</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(M00-M99) Dise~6mvn\(M00-M25) Arth~kgqv\(M05-M14) Infl~t2iu\(M05) Rheumato~npzf\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the musculoskeletal system and connective tissue (m00-m99) \ Arthropathies (m00-m25) \ Inflammatory polyarthropathies (m05-m14)
 \ Rheumatoid arthritis with rheumatoid factor</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 rheumatoid arthritis with rheumatoid factor at any time in their medical record, with a high level of specificity (1000%) and no synonyms, and the query should include all occurrences of this diagnosis in the Diagnoses section of their chart under the category of Diseases of the musculoskeletal system and connective tissue (ICD10_ICD9 codes M00-M9), specifically Arthropathies (M00-M25), and within that, Inflammatory polyarthropathies (M05-M14), with a focus on Rheumatoid arthritis with rheumatoid factor (M05).