```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>Creatin-Adult g@12:38:15</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>Creatinine (LOINC:X1006-5)</item_name>
            <item_key>\\i2b2_LABS\i2b2\Labtests\LAB\(LLB16) Chemistry\(LLB29) Urine Chemistries Unspec\U/UCRE\LOINC:X1006-5\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Labtests \ Chemistry \ Urine Chemistries Unspec \ Unspec Urine CRE (Group:U/UCRE) \ Creatinine (LOINC:X1006-5)</tooltip>
            <class>ENC</class>
            <constrain_by_value>
                <value_operator>GT</value_operator>
                <value_constraint>50</value_constraint>
                <value_unit_of_measure>mg/dl</value_unit_of_measure>
                <value_type>NUMBER</value_type>
            </constrain_by_value>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>2</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>6</hlevel>
            <item_name>Adult gender identity disorder, sexually attracted to both sexes</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Mental Disorders (290-319)\Non-psychotic disorders (300-316)\(302) Sexual deviations and disor~\(302-8) Other specified psychosex~\(302-85) Gender identity disorder~\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Diagnoses \ ... \ Sexual deviations and disorders \ Other specified psychosexual disorders \ Gender identity disorder of adolescent or adult life</tooltip>
            <class>ENC</class>
            <item_is_synonym>true</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find patients who have had a creatinine level greater than 50 mg/dl (in urine chemistries unspecified group) and who have been diagnosed with adult gender identity disorder, specifically those who are sexually attracted to both sexes.