```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>(t) CoughAcute upper res@15:19:39</query_name>
    <query_timing>ANY</query_timing>
    <specificity_scale>0</specificity_scale>
    <subquery_constraint>
        <first_query>
            <query_id>Observation A</query_id>
            <join_column>STARTDATE</join_column>
            <aggregate_operator>FIRST</aggregate_operator>
        </first_query>
        <operator>LESS</operator>
        <second_query>
            <query_id>Observation B</query_id>
            <join_column>STARTDATE</join_column>
            <aggregate_operator>FIRST</aggregate_operator>
        </second_query>
    </subquery_constraint>
    <subquery>
        <query_id>Observation A</query_id>
        <query_type>EVENT</query_type>
        <query_name>Observation A</query_name>
        <query_timing>SAMEINSTANCENUM</query_timing>
        <specificity_scale>0</specificity_scale>
        <panel>
            <panel_number>0</panel_number>
            <panel_timing>SAMEINSTANCENUM</panel_timing>
            <panel_accuracy_scale>100</panel_accuracy_scale>
            <invert>0</invert>
            <total_item_occurrences>1</total_item_occurrences>
            <item>
                <hlevel>3</hlevel>
                <item_name>Cough</item_name>
                <item_key>\\ICD10_ICD9\Diagnoses\(R00-R99) Symp~mt2x\(R00-R09) Symp~evaq\(R05) Cough\</item_key>
                <item_icon>FA</item_icon>
                <tooltip>Diagnoses \ Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99) \ Symptoms and signs involving the circulatory and respiratory systems (r00-r09)
 \ Cough</tooltip>
                <class>ENC</class>
                <item_is_synonym>false</item_is_synonym>
            </item>
        </panel>
    </subquery>
    <subquery>
        <query_id>Observation B</query_id>
        <query_type>EVENT</query_type>
        <query_name>Observation B</query_name>
        <query_timing>SAMEINSTANCENUM</query_timing>
        <specificity_scale>0</specificity_scale>
        <panel>
            <panel_number>0</panel_number>
            <panel_timing>SAMEINSTANCENUM</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>Acute upper respiratory infections of multiple or unspecified sites</item_name>
                <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Respiratory system (460-519)\Acute respiratory infections (460-466)\(465) Acute upper respiratory inf~\</item_key>
                <item_icon>FA</item_icon>
                <tooltip>Diagnoses \ Respiratory system \ Acute respiratory infections \ Acute upper respiratory infections of multiple or unspecified sites</tooltip>
                <class>ENC</class>
                <item_is_synonym>false</item_is_synonym>
            </item>
        </panel>
    </subquery>
</ns4:query_definition>

```

I want to find patients who have had an occurrence of "Cough" within the same encounter as "Acute upper respiratory infections of multiple or unspecified sites" with a specificity scale of 0 and the time constraint being any time.