```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>Mental Disorders-Skin diseases@11:21:24@13:9:44@13:11:29@13:26:16@13:27:27</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) Mental Disorders-Skin diseases@11:21:24@13:9:44@13:11:29@13:26:16</item_name>
            <item_key>masterid:29581</item_key>
            <tooltip>Mental Disorders-Skin diseases@11:21:24@13:9:44@13:11:29@13:26:16 [7-26-2023] [demo]</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>0</hlevel>
            <item_name>(PrevQuery) Mental Disorders-Skin diseases@11:21:24@13:9:44</item_name>
            <item_key>masterid:29578</item_key>
            <tooltip>Mental Disorders-Skin diseases@11:21:24@13:9:44 [7-26-2023] [demo]</tooltip>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find patients who have been diagnosed with both mental disorders and skin diseases, specifically within the time frame of 1:21:24, 13:9:44, 13:1:29, and 13:26:16, with a high level of accuracy (100) and any timing. This query includes two items: the first one focuses on mental disorders and skin diseases combined, while the second item focuses only on mental disorders and skin diseases with the time frame of 1:21:24 and 13:9:44.