```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>Asthma@15:38:12 (SS attempt 2)</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>4</hlevel>
            <item_name>Asthma</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Respiratory system (460-519)\Chronic obstructive diseases (490-496)\(493) Asthma\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Diagnoses \ Respiratory system \ Chronic obstructive diseases \ Asthma</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all patients with a diagnosis of asthma, a chronic respiratory condition, within the specified time frame (ANY), using the specificity scale of 0 and accuracy scale of 100, with the panel number and total item occurrences set to 1, and the hierarchy level set to 4, while excluding synonyms and inverting the search results. The query will search for the ICD code (493) associated with asthma under the category of Chronic obstructive diseases within the Respiratory system.