```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>mild dementia@11:55:34</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>4</hlevel>
            <item_name>mild dementia</item_name>
            <item_key>\\BIRN\BIRN\oasis\Clinical Measures\Clinical Dementia Rating (CDR)\mild dementia\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>oasis \ Clinical Measures \ Clinical Dementia Rating (CDR) \ mild dementia</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>moderate dementia</item_name>
            <item_key>\\BIRN\BIRN\oasis\Clinical Measures\Clinical Dementia Rating (CDR)\moderate dementia\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>oasis \ Clinical Measures \ Clinical Dementia Rating (CDR) \ moderate dementia</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>No Alzheimers disease</item_name>
            <item_key>\\BIRN\BIRN\oasis\Clinical Measures\MMSE score\No Alzheimers disease\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>oasis \ Clinical Measures \ MMSE score \ No Alzheimer's disease</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find patients with a mild dementia diagnosis, excluding those with moderate dementia or Alzheimer's disease. The search will be conducted across all available time periods and the specificity scale is set to 0. The panel includes three items: mild dementia, moderate dementia, and the absence of Alzheimer's disease. The accuracy scale is set to 100, indicating high confidence in the results. The query will return patients who have been diagnosed with mild dementia, but not moderate dementia or Alzheimer's disease.