```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>Acute-  18--Livin@00:17:39</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>5</hlevel>
            <item_name>Acute pancreatitis</item_name>
            <item_key>\\i2b2_DIAG\i2b2\Diagnoses\Digestive system (520-579)\Other diseases of digestive system (570-579)\(577) Diseases of pancreas\(577-0) Acute pancreatitis\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Diagnoses \ Digestive system \ Other diseases of digestive system \ Diseases of pancreas \ Acute pancreatitis</tooltip>
            <class>ENC</class>
            <item_is_synonym>true</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>3</hlevel>
            <item_name>  18-34 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\18-34 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 18-34 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  35-44 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\35-44 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 35-44 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>3</hlevel>
            <item_name>  45-54 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\45-54 years old\</item_key>
            <item_icon>FA</item_icon>
            <tooltip>Demographics \ Age \ 45-54 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>55 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\55 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 55 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>56 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\56 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 56 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>57 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\57 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 57 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>58 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\58 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 58 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>59 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\59 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 59 years old</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
        <item>
            <hlevel>4</hlevel>
            <item_name>60 years old</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Age\55-64 years old\60 years old\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographics \ Age \ 55-64 years old \ 60 years old</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>3</hlevel>
            <item_name>Living</item_name>
            <item_key>\\i2b2_DEMO\i2b2\Demographics\Vital Status\Living\</item_key>
            <item_icon>LA</item_icon>
            <tooltip>Demographic \ Vital Status \ Living</tooltip>
            <class>ENC</class>
            <item_is_synonym>false</item_is_synonym>
        </item>
    </panel>
</ns4:query_definition>

```

I want to find all encounters where the patient's age is between 18 and 34 years old, or between 35 and 444 years old, or between 45 and 64 years old with an age breakdown of 5, 6, 7, 8, 9, and 60 years old, and the patient's vital status is living.