```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>&gt;= 65 y-Admit D@16:38:13</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>3</hlevel>
            <item_name>&gt;= 65 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\&gt;= 65 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ &gt;= 65 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  55-64 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  45-54 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\45-54 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 45-54 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  18-34 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\18-34 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 18-34 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  18-34 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\18-34 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 18-34 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  35-44 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\35-44 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 35-44 years old</tooltip>
            <class>ENC</class>
            <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>2</hlevel>
            <item_name>Respiratory system</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Respiratory system (460-519)\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Respiratory system</tooltip>
            <class>ENC</class>
            <constrain_by_modifier>
                <modifier_name>Admit Diagnosis</modifier_name>
                <modifier_key>\\i2b2_DIAG\Admit Diagnosis\</modifier_key>
                <applied_path>\i2b2\Diagnoses\Respiratory system (460-519)\%</applied_path>
            </constrain_by_modifier>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients who are 65 years or older with any diagnoses related to the respiratory system, including conditions such as asthma, bronchitis, pneumonia, or COPD, that were present at the time of their admission to the hospital.