```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>Esophageal refl@14:50:48</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>5</hlevel>
            <item_name>Esophageal reflux</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Digestive system (520-579)\(530) Diseases of esophagus\(530-8) Other specified disorders~\(530-81) Esophageal reflux\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Diagnoses \ Digestive system \ Diseases of esophagus \ Other specified disorders of esophagus \ Esophageal reflux</tooltip>
            <class>ENC</class>
            <item_is_synonym>true</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all instances of the diagnosis "Esophageal reflux" in the "Digestive system" category under "Diseases of esophagus" and "Other specified disorders" with a specificity scale of 0, accuracy scale of 100, and any timing. This query will include only one item in the panel and the panel timing is set to "ANY." The icon for this query is "LA" and it is considered a synonym.