```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>Esoph-Conge-Opera@03:20:07</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>0</panel_accuracy_scale>
        <invert>0</invert>
        <total_item_occurrences>2</total_item_occurrences>
        <item>
            <hlevel>0</hlevel>
            <item_name>(PrevQuery)Esophageal refl@15:39:03</item_name>
            <item_key>masterid:1032</item_key>
            <tooltip>Esophageal refl@15:39:03</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>2</panel_number>
        <panel_timing>SAMEVISIT</panel_timing>
        <panel_accuracy_scale>0</panel_accuracy_scale>
        <invert>0</invert>
        <total_item_occurrences>3</total_item_occurrences>
        <item>
            <hlevel>0</hlevel>
            <item_name>(PrevQuery)Congenital anom@16:02:33</item_name>
            <item_key>masterid:1015</item_key>
            <tooltip>Congenital anom@16:02:33</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>3</panel_number>
        <panel_timing>SAMEVISIT</panel_timing>
        <panel_accuracy_scale>0</panel_accuracy_scale>
        <invert>0</invert>
        <total_item_occurrences>5</total_item_occurrences>
        <item>
            <hlevel>0</hlevel>
            <item_name>(PrevQuery)Operations on r@11:07:53</item_name>
            <item_key>masterid:1022</item_key>
            <tooltip>Operations on r@11:07:53</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients who have been diagnosed with Esophageal reflux, have a history of congenital anomalies, and have undergone operations on the respiratory system, all within the same visit.