```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>Other d-Chronic@13:22:54</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>6</hlevel>
            <item_name>Other disorders of external ear in diseases classified elsewhere, bilateral</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(H60-H95) Dise~nko6\(H60-H62) Dise~h7qe\(H62) Disorder~cf06\(H62.8) Other~fw4b\(H62.8X) Other~1sh7\(H62.8X3) Othe~aukd\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the ear and mastoid process (h60-h95) \ Diseases of external ear (h60-h62) \ Disorders of external ear in diseases classified elsewhere
 ...  \ Other disorders of external ear in diseases classified elsewhere, bilateral</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>Chronic rheumatic heart diseases (i05-i09)</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(I00-I99) Dise~3w8h\(I05-I09) Chro~61el\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the circulatory system (i00-i99) \ Chronic rheumatic heart diseases (i05-i09)</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients with diagnoses of chronic rheumatic heart diseases (i05-i09) and other disorders of external ear in diseases classified elsewhere, bilateral (H62.8X3) with any timing and specificity scale set to 0. The panel accuracy scale is set to 100, and the items are not inverted. The first panel includes the diagnoses of diseases of the ear and mastoid process (h60-h95), diseases of the external ear (h60-h62), and disorders of the external ear in diseases classified elsewhere, while the second panel focuses on chronic rheumatic heart diseases (i05-i09).