Represents a PEX_P08_PEX_CAUSE group structure (a Group object). A Group is an ordered collection of message segments that can repeat together or be optionally in/excluded together. This Group contains the following elements:
1: PCR (Possible Causal Relationship)
2: PEX_P08_RX_ORDER (a Group object) optional
3: PEX_P08_RX_ADMINISTRATION (a Group object) optional repeating
4: PRB (Problem Detail) optional repeating
5: OBX (Observation segment) optional repeating
6: NTE (Notes and comments segment) optional repeating
7: PEX_P08_ASSOCIATED_PERSON (a Group object) optional
8: PEX_P08_STUDY (a Group object) optional repeating
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