```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>Patient Instruc@20:50:59</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>6</hlevel>
            <item_name>Maxair Autohaler 0.2 mg/inh aerosol with adapter 3 M Pharmaceuticals</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Medications\MUL\(LME219) respiratory agents\(LME223) bronchodilators\(LME224) adrenergic bronchodilators\pirbuterol\00089081710\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>medications \ respiratory agents \ bronchodilators \ adrenergic bronchodilators \ pirbuterol \ maxair autohaler 0.2 mg/inh aerosol with adapter 3 m pharmaceuticals</tooltip>
            <class>ENC</class>
            <constrain_by_modifier>
                <modifier_name>Patient Instructions</modifier_name>
                <modifier_key>\\i2b2_DEMO\Medication\Instructions\</modifier_key>
                <applied_path>\i2b2\Medications\%</applied_path>
            </constrain_by_modifier>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all instances where the medication "Maxair Autohaler 0.2 mg/inh aerosol with adapter 3 M Pharmaceuticals" was prescribed or administered to patients with any timing, and the medication has a specificity scale of 0, accuracy scale of 100, and the query is not inverted. The query should be constrained by the modifier "Patient Instructions" and is part of the "Medications" category, specifically under "Respiratory Agents" and "Bronchodilators" subcategories, and falls under the "Adrenergic Bronchodilators" class.