Left Ventricular Ejection Fraction
Synopsis
This query finds mentions left ventricular ejection fraction (LVEF), and uses measurement relations to retrieve their values and units.
Processing Requirements
This query assumes that at least the following emtellipro-db-client processing options were enabled:
- —feature
measurement-relations, snomed-ontology - —store-sections-and-sentences
Clinical Context
Measurements are frequently used in clinical notes to provide information and context about patients. For example, a clinician may indicate that they feel that a patient’s limited exercise tolerance is not related to cardiac issues by noting that:
In this example, the NLP API identifies LVEF as matching the SNOMED concept 250908004 |Left ventricular ejection fraction (observable entity)|, 55 as the measurement value, and % as the measurement unit. This information is captured as a measurement relation.
If a user wanted to extract all of the left ventricular ejection fraction measurements from a collection of clinical notes, the query below could be used. You can search for other measurement types of interest by altering the concept of interest in the query to another SNOMED concept such as 59328004 |Forced expired volume in 1 second (observable entity)| will return all of the FEV1 measurements from patient charts.
SQL query
Variant 1: Find only LVEF mentions with measurement values
PostgreSQL
MS SQL Server
Snowflake
Variant 2: Find all LVEF mentions showing measurement values when available
PostgreSQL
MS SQL Server
Snowflake
Next steps
Expand the search by searching for all child concepts of cardiac ejection fractions 70822001. This concept includes both right and left ventricular ejection fractions. Examples of using Snomed CT concept hierarchies in SQL queries are provided in the Concept Hierarchy Queries section.

