```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>Secondary Diagn@11:26:40</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>2</hlevel>
            <item_name>Cerebrovascular diseases (i60-i69)</item_name>
            <item_key>\\ICD10_ICD9\Diagnoses\(I00-I99) Dise~3w8h\(I60-I69) Cere~wg9x\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Diseases of the circulatory system (i00-i99) \ Cerebrovascular diseases (i60-i69)</tooltip>
            <class>ENC</class>
            <constrain_by_modifier>
                <modifier_name>Secondary Diagnosis</modifier_name>
                <modifier_key>\\ICD10_ICD9\Secondary Diagnosis\</modifier_key>
                <applied_path>\Diagnoses\(I00-I99) Dise~3w8h\%</applied_path>
            </constrain_by_modifier>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all cases where Cerebrovascular diseases (i60-i69) are listed as a secondary diagnosis in the ICD-10 or ICD-9 coding system within the Diagnoses section of the medical record, with a specificity scale of 0, a total of 1 item occurrence, and a panel accuracy scale of 100. The query timing and specificity scale are set to ANY, indicating that the search will be performed across all available data, and the results will be accurate based on the chosen scale.