```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>Oasis-Clini-Hand @22:28:14</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>1</hlevel>
            <item_name>Oasis</item_name>
            <item_key>\\BIRN\BIRN\oasis\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>oasis</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>3</hlevel>
            <item_name>Clinical Dementia Rating (CDR)</item_name>
            <item_key>\\BIRN\BIRN\oasis\Clinical Measures\Clinical Dementia Rating (CDR)\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>oasis \ Clinical Measures \ Clinical Dementia Rating (CDR)</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>3</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>Hand Orientation</item_name>
            <item_key>\\BIRN\BIRN\oasis\Demographics\Hand Orientation\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>oasis \ Demographics \ Hand Orientation</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all instances of the Oasis data element, specifically within the Clinical Measures and Demographics sections, where the Clinical Dementia Rating (CDR) and Hand Orientation fields are recorded, with a high level of specificity and accuracy.