It doesn't appear the menu key can be changed to left_option on the Microsoft Ergonomic keyboard using Karabiner Elements.
After setting it up as per below, the key behaves the same way it did before installing Karabiner Elements.

Itâs the âapplicationâ key, if thatâs the key youâre referring to.
Itâs the âapplicationâ key, if thatâs the key youâre referring to.
Thank you, that worked!
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Itâs the âapplicationâ key, if thatâs the key youâre referring to.