```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>(t) Congenital malfDiseases of the@21:56:12</query_name>
    <query_timing>ANY</query_timing>
    <specificity_scale>0</specificity_scale>
    <subquery_constraint>
        <first_query>
            <query_id>Event 1</query_id>
            <join_column>STARTDATE</join_column>
            <aggregate_operator>FIRST</aggregate_operator>
        </first_query>
        <operator>LESS</operator>
        <second_query>
            <query_id>Event 2</query_id>
            <join_column>STARTDATE</join_column>
            <aggregate_operator>FIRST</aggregate_operator>
        </second_query>
        <span>
            <operator>GREATEREQUAL</operator>
            <span_value>10</span_value>
            <units>HOUR</units>
        </span>
    </subquery_constraint>
    <subquery>
        <query_id>Event 1</query_id>
        <query_type>EVENT</query_type>
        <query_name>Event 1</query_name>
        <query_timing>SAMEINSTANCENUM</query_timing>
        <specificity_scale>0</specificity_scale>
        <panel>
            <panel_number>1</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>1</hlevel>
                <item_name>Congenital malformations, deformations and chromosomal abnormalities (q00-q99)</item_name>
                <item_key>\\ICD10_ICD9\Diagnoses\(Q00-Q99) Cong~t96i\</item_key>
                <item_icon>FA</item_icon>
                <tooltip>Diagnoses \ Congenital malformations, deformations and chromosomal abnormalities (q00-q99)</tooltip>
                <class>ENC</class>
                <item_is_synonym>false</item_is_synonym>
            </item>
        </panel>
    </subquery>
    <subquery>
        <query_id>Event 2</query_id>
        <query_type>EVENT</query_type>
        <query_name>Event 2</query_name>
        <query_timing>SAMEINSTANCENUM</query_timing>
        <specificity_scale>0</specificity_scale>
        <panel>
            <panel_number>1</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>1</hlevel>
                <item_name>Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89)</item_name>
                <item_key>\\ICD10_ICD9\Diagnoses\(D50-D89) Dise~nx0c\</item_key>
                <item_icon>FA</item_icon>
                <tooltip>Diagnoses \ Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89)</tooltip>
                <class>ENC</class>
                <item_is_synonym>false</item_is_synonym>
            </item>
        </panel>
    </subquery>
</ns3:query_definition>

```

I want to find patients who have been diagnosed with Congenital malformations, deformations and chromosomal abnormalities (ICD codes Q0-Q9) and have not had any diagnoses related to Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (ICD codes D50-D89) within 10 hours of their first diagnosis.