```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>Asthma@13:10:03</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>Asthma</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(J00-J99) Dise~45pn\(J40-J47) Chro~fbox\(J45) Asthma\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the respiratory system (j00-j99) \ Chronic lower respiratory diseases (j40-j47) \ Asthma</tooltip>
            <class>ENC</class>
            <item_is_synonym>true</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all patients who have been diagnosed with asthma (J45) in the context of chronic lower respiratory diseases (J40-J47) within the broader category of diseases of the respiratory system (J00-J9) using the ICD10_ICD9 coding system, with a specificity scale of 0 and an accuracy scale of 100. The query should be applicable at any time (ANY timing) and should include only one item in the panel. The item should be considered an exact match (ENC) and can be treated as a synonym.