```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>Ohio-Metab-Hemog@21:48:40</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>Ohio</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Zip codes\Ohio\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Zip codes \ Ohio</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>Female</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Gender\Female\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographic \ Gender \ Female</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>Male</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Gender\Male\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographic \ Gender \ Male</tooltip>
            <class>ENC</class>
            <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>2</hlevel>
            <item_name>Metabolic and immunity disorders</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Metabolic and immunity disorders (270-279)\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Metabolic and immunity disorders</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
    <panel>
        <panel_number>3</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>4</hlevel>
            <item_name>Hemoglobin A1 (Group:HBA1)</item_name>
            <item_key>\\i2b2_LABS\i2b2\Labtests\LAB\(LLB53) Hematology\(LLB58) Hemoglobin Electrophoresis\HBA1\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Labtests \ Hematology \ Hemoglobin Electrophoresis \ Hemoglobin A1 (Group:HBA1)</tooltip>
            <class>ENC</class>
            <constrain_by_value>
                <value_operator>EQ</value_operator>
                <value_constraint>H</value_constraint>
                <value_type>FLAG</value_type>
            </constrain_by_value>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns3:query_definition>

```

I want to find patients who are from Ohio, have either male or female gender, have metabolic and immunity disorders, and have Hemoglobin A1 (Group: HBA1) lab test result with a value of "H".