```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>221610_s_at (55@08:32:34</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>221610_s_at (55620)</item_name>
            <item_key>\\i2b2_EXPR\i2b2\Expression Profiles Data\Affymetrix HG-U133\221610_s_at (55620)\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Expression Profiles Data\Affymetrix HG-U133\221610_s_at (55620)</tooltip>
            <class>ENC</class>
            <constrain_by_value>
                <value_operator>LT</value_operator>
                <value_constraint>120</value_constraint>
                <value_unit_of_measure>ratio</value_unit_of_measure>
                <value_type>NUMBER</value_type>
            </constrain_by_value>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>6</hlevel>
            <item_name>Encounter of female for testing for genetic disease carrier status for procreative management</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(Z00-Z99) Fact~rmj9\(Z30-Z39) Pers~awcc\(Z31) Encounte~kvb2\(Z31.4) Encoun~cfmo\(Z31.43) Encou~hzlz\(Z31.430) Enco~adiu\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Factors influencing health status and contact with health services (z00-z99) \ Persons encountering health services in circumstances related to reproduction (z30-z39)
 ...  \ Encounter of female for testing for genetic disease carrier status for procreative management</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>6</hlevel>
            <item_name>Encounter for other genetic testing of female for procreative management</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(Z00-Z99) Fact~rmj9\(Z30-Z39) Pers~awcc\(Z31) Encounte~kvb2\(Z31.4) Encoun~cfmo\(Z31.43) Encou~hzlz\(Z31.438) Enco~848d\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Factors influencing health status and contact with health services (z00-z99) \ Persons encountering health services in circumstances related to reproduction (z30-z39)
 ...  \ Encounter for other genetic testing of female for procreative management</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find all female patients who have had a 21610_s_at (5620) expression profile test with a result lower than 120 and have had an encounter for genetic disease carrier status testing or other genetic testing for procreative management.