```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>Predominant dis@10:36:27</query_name>
    <query_timing>ANY</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>1</total_item_occurrences>
        <item>
            <hlevel>5</hlevel>
            <item_name>Predominant disturbance of consciousness</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Mental Disorders (290-319)\Non-psychotic disorders (300-316)\(308) Acute reaction to stress\(308-1) Predominant disturbance o~\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Mental Disorders \ Non-psychotic disorders \ Acute reaction to stress \ Predominant disturbance of consciousness</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients with a predominant disturbance of consciousness diagnosis in the mental disorders category, specifically under non-psychotic disorders, and within the acute reaction to stress subcategory. This query searches for any occurrence of this diagnosis at any time, with a specificity scale of 0 and a panel timing set to the same visit. The query will include one item with a hierarchy level of 5 and the icon and tooltip provided in the XML. The item is not a synonym, and the class is set to ENC.