```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>Seconda-Patient@13:16:43</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>Acute nasopharyngitis [common cold]</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(J00-J99) Dise~45pn\(J00-J06) Acut~bb2r\(J00) Acute na~mwdo\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the respiratory system (j00-j99) \ Acute upper respiratory infections (j00-j06) \ Acute nasopharyngitis [common cold]</tooltip>
            <class>ENC</class>
            <constrain_by_modifier>
                <modifier_name>Secondary Diagnosis</modifier_name>
                <modifier_key>\\ICD10_ICD9\Secondary Diagnosis\</modifier_key>
                <applied_path>\Diagnoses\(J00-J99) Dise~45pn\%</applied_path>
            </constrain_by_modifier>
            <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>Nutraceutical products</item_name>
            <item_key>\\i2b2_MEDS\i2b2\Medications\MUL\(LME2) alternative medicines\(LME4) nutraceutical products\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>medications \ alternative medicines \ nutraceutical products</tooltip>
            <class>ENC</class>
            <constrain_by_modifier>
                <modifier_name>Patient Instructions</modifier_name>
                <modifier_key>\\i2b2_MEDS\Medication\Instructions\</modifier_key>
                <applied_path>\i2b2\Medications\%</applied_path>
            </constrain_by_modifier>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find patients who have been diagnosed with Acute nasopharyngitis (common cold) as a secondary diagnosis and have been given instructions related to the use of nutraceutical products.