```xml
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<ns3:query_definition xmlns:ns2="http://www.i2b2.org/xsd/cell/crc/psm/1.1/" xmlns:ns4="http://www.i2b2.org/xsd/cell/crc/psm/analysisdefinition/1.1/" xmlns:ns3="http://www.i2b2.org/xsd/cell/crc/psm/querydefinition/1.1/">
    <query_name>mild dementia@09:12:35</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>mild dementia</item_name>
            <item_key>\\BIRN\BIRN\oasis\Clinical Measures\Clinical Dementia Rating (CDR)\mild dementia\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>oasis \ Clinical Measures \ Clinical Dementia Rating (CDR) \ mild dementia</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find all patients with a diagnosis of mild dementia at any time in their medical history, as recorded in the OASIS Clinical Measures Clinical Dementia Rating (CDR) section, with a specificity scale of 0 and an accuracy scale of 100, using the panel number 1. The query should have a high level of sensitivity (hlevel 4) and not consider synonyms for mild dementia.