```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>Admit D-Left Ha@14:11:10</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>0</hlevel>
            <item_name>(PrevQuery)Admit Diagnosis@14:08:11</item_name>
            <item_key>masterid:1752</item_key>
            <tooltip>Admit Diagnosis@14:08:11</tooltip>
            <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>1</invert>
        <total_item_occurrences>1</total_item_occurrences>
        <item>
            <hlevel>0</hlevel>
            <item_name>(PrevQuery)Left Handed@13:17:02</item_name>
            <item_key>masterid:1728</item_key>
            <tooltip>Left Handed@13:17:02</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients with a history of admission diagnosis (Admit Diagnosis@14:08:1) who are not left-handed (Left Handed@3:17:02). The query is designed to retrieve patients with any admission diagnosis and any timing, and the specificity scale is set to 0. The panel accuracy scale is set to 100 for both panels, indicating a high level of confidence in the results. The query will return patients who meet the specified criteria, with the first panel searching for patients with admission diagnosis and the second panel excluding those who are left-handed. The total item occurrences for each panel are set to 1, and the panel invert is set to 0 for the first panel and 1 for the second panel.