diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_prefc_med_dis_treat_mapper.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_prefc_med_dis_treat_mapper.py
new file mode 100644
index 00000000..42193466
--- /dev/null
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_prefc_med_dis_treat_mapper.py
@@ -0,0 +1,104 @@
+from src.batch.ultmarc.utmp_tables.table_mapper.ultmarc_table_mapper import \
+    UltmarcTableMapper
+from src.batch.ultmarc.utmp_tables.tables.com_prefc_med_dis_treat import ComPrefcMedDisTreat
+
+
+class ComPrefcMedDisTreatMapper(UltmarcTableMapper):
+    """レイアウト区分133: COM_都道府県医療機能情報(疾患治療)"""
+
+    # レコード存在確認SQL
+    RECORD_EXISTS_QUERY = """\
+    SELECT
+        COUNT(*) AS count_num
+    FROM
+        src05.com_prefc_med_dis_treat
+    WHERE
+        dcf_dsf_inst_cd = :dcfdsf_inst_code
+        AND
+        treatment_code = :treatment_code
+    """
+    # データ登録用SQL
+    INSERT_QUERY = """\
+    INSERT INTO src05.com_prefc_med_dis_treat
+    (
+        dcf_dsf_inst_cd,
+        treatment_code,
+        pre_num,
+        regist_ymd,
+        sys_regist_date,
+        regist_prgm_id,
+        sys_update_date,
+        update_prgm_id
+    )
+    VALUES (
+        :dcfdsf_inst_code,
+        :treatment_code,
+        :pre_num,
+        :execute_date_str_ymd,
+        :execute_datetime,
+        :program_name,
+        :execute_datetime,
+        :program_name
+    )
+    """
+
+    # データ変更用SQL
+    UPDATE_QUERY = """\
+    UPDATE
+        src05.com_prefc_med_dis_treat
+    SET
+        pre_num = :pre_num,
+        update_ymd = :execute_date_str_ymd,
+        sys_update_date = :execute_datetime,
+        update_prgm_id = :program_name
+    WHERE
+        dcf_dsf_inst_cd = :dcfdsf_inst_code
+        AND
+        treatment_code = :treatment_code
+    """
+
+    # 『修正区分がB(修正)かつ専門医メンテナンス区分が1(退職)』の場合、物理削除
+    PHYSICAL_DELETE_QUERY = """\
+    DELETE FROM
+        src05.com_prefc_med_dis_treat
+    WHERE
+        dcf_dsf_inst_cd = :dcfdsf_inst_code
+        AND
+        treatment_code = :treatment_code
+    """
+
+    record: ComPrefcMedDisTreat
+
+    def __init__(self, record: list[str], db) -> None:
+        super().__init__(record, db, ComPrefcMedDisTreat)
+        program_name = __name__.split('.')[-1]  # 当モジュール名(現行から変わっている)
+        # モジュール名をクエリパラメータに設定
+        self.query_parameter['program_name'] = program_name
+        # 読み込んだレコード値もクエリパラメータに追加
+        self.query_parameter = {**self.query_parameter, **self.record.to_sql_parameter()}
+
+    def make_query(self):
+        # 『修正区分がB(修正)かつ専門医メンテナンス区分が1(退職)』の場合、物理削除
+        if self.record.maint_flag == 'B' and self.record.adddel_div == '1':
+            self.queries.append(self.PHYSICAL_DELETE_QUERY)
+            return
+
+        # 追加、更新の場合
+        self.queries.append(self.__make_upsert_query())
+        return
+
+    def __make_upsert_query(self):
+        # レコードの存在確認
+        record_count = self.db.execute_select(self.RECORD_EXISTS_QUERY, self.query_parameter)
+        # 存在しない場合はInsert
+        if record_count[0]['count_num'] == 0:
+            return self.INSERT_QUERY
+
+        # 存在する場合はUpdate
+        # 病床数が空の場合は更新しない
+        if self.record.pre_num is not None:
+            if self.record.pre_num == '@':
+                self.query_parameter['pre_num'] = None
+            return self.UPDATE_QUERY
+        else:
+            return None
diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_prefc_med_dis_treat.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_prefc_med_dis_treat.py
new file mode 100644
index 00000000..4e458fe0
--- /dev/null
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_prefc_med_dis_treat.py
@@ -0,0 +1,30 @@
+from src.batch.ultmarc.utmp_tables.tables.ultmarc_table import UltmarcTable
+
+
+class ComPrefcMedDisTreat(UltmarcTable):
+    """レイアウト区分133: COM_都道府県医療機能情報(疾患治療)"""
+    dcfhp_id: str               # DCFｺｰﾄﾞ（ﾚｺｰﾄﾞID）
+    dcfhp_code: str             # DCFｺｰﾄﾞ（施設ｺｰﾄﾞ）
+    dcfhp_yobi: str             # DCFｺｰﾄﾞ（予備）
+    treatment_code: str         # 疾患治療ｺｰﾄﾞ
+    pre_num: str                # 前年比
+    adddel_div: str             # 追加削除区分
+    maint_flag: str             # 修正区分
+
+    dcfdsf_inst_code: str        # DCFDSF施設コード
+
+    def __init__(self, record: list[str]):
+        super().__init__(record)
+        self.dcfhp_id = record[1]
+        self.dcfhp_code = record[2]
+        self.dcfhp_yobi = record[3].strip()
+        self.maint_flag = record[4]
+        self.treatment_code = record[5].strip()
+        self.adddel_div = record[6]
+        self.pre_num = record[9]
+
+        # smallint型のカラム値は、空文字で渡ってきた場合はNULLに変換する
+        self.pre_num = self.pre_num if len(self.pre_num) > 0 else None
+
+        # DCFDSF施設コード
+        self.dcfdsf_inst_code = ''.join([self.dcfhp_id, self.dcfhp_code, self.dcfhp_yobi])
diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/ultmarc_table_mapper_factory.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/ultmarc_table_mapper_factory.py
index f3fbcef1..38dc1f27 100644
--- a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/ultmarc_table_mapper_factory.py
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/ultmarc_table_mapper_factory.py
@@ -34,6 +34,8 @@ from src.batch.ultmarc.utmp_tables.table_mapper.concrete.com_prefc_med_base_mapp
     ComPrefcMedBaseMapper
 from src.batch.ultmarc.utmp_tables.table_mapper.concrete.com_prefc_med_equpment_mapper import \
     ComPrefcMedEqupmentMapper
+from src.batch.ultmarc.utmp_tables.table_mapper.concrete.com_prefc_med_dis_treat_mapper import \
+    ComPrefcMedDisTreatMapper
 from src.batch.ultmarc.utmp_tables.table_mapper.concrete.null_mapper import \
     NullMapper
 
@@ -61,7 +63,7 @@ COM_TABLE_LIST = {
     # COM_都道府県医療機能情報(施設設備)
     "133": ComPrefcMedEqupmentMapper,
     # COM_都道府県医療機能情報(疾患治療)
-    "134": NullMapper,
+    "134": ComPrefcMedDisTreatMapper,
     # COM_都道府県医療機能情報(短期滞在手術)
     "135": NullMapper,
     # COM_都道府県医療機能情報(専門外来)
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/__init__.py b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/__init__.py
new file mode 100644
index 00000000..e69de29b
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_delete.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_delete.csv
new file mode 100644
index 00000000..7c1bb46d
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_delete.csv
@@ -0,0 +1,4 @@
+"134","00","9901679","","B","2201","1","20141205","20141213",""
+"134","00","9901679","","B","2203","1","20141205","20141213",""
+"134","00","9901679","","B","2205","1","20141205","20141213",""
+"134","00","9901679","","B","2206","1","20141205","20141213",""
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_insert.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_insert.csv
new file mode 100644
index 00000000..037c46c2
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_insert.csv
@@ -0,0 +1,8 @@
+"134","00","9901649","","A","1001","2","20141113","20141114",""
+"134","00","9901679","","A","2201","2","20141113","20141114",""
+"134","00","9901679","","A","2203","2","20141113","20141114","2789"
+"134","00","9901679","","A","2205","2","20141113","20141114","2033"
+"134","00","9901679","","A","2206","2","20141113","20141114","0"
+"134","00","9929798","","A","0902","2","20141113","20141114",""
+"134","00","9929798","","A","0915","2","20141113","20141114",""
+"134","99","9999999","99","A","1234","2","20141113","20141114","123456"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_update.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_update.csv
new file mode 100644
index 00000000..4def216a
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/com_prefc_med_dis_treat_update.csv
@@ -0,0 +1,7 @@
+"134","00","9901649","","B","1001","2","20141113","20141114","0"
+"134","00","9901679","","B","2203","2","20141113","20141114","@"
+"134","00","9901679","","B","2205","2","20141113","20141114","1987"
+"134","00","9901679","","B","2206","2","20141113","20141114","@"
+"134","00","9929798","","B","0902","2","20141113","20141114","0"
+"134","00","9929798","","B","0915","2","20141113","20141114","543"
+"134","99","9999999","99","B","1234","2","20141113","20141114",""
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_delete.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_delete.csv
new file mode 100644
index 00000000..ee268b92
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_delete.csv
@@ -0,0 +1,8 @@
+"dcf_dsf_inst_cd","treatment_code","pre_num","regist_ymd","update_ymd","regist_date","create_user","update_date","update_user","sys_regist_date","regist_prgm_id","sys_update_date","update_prgm_id"
+"009901649","1001","0","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009901679","2201","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2203","NULL","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009901679","2205","1987","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009901679","2206","NULL","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009929798","0902","0","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009929798","0915","543","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_update.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_update.csv
new file mode 100644
index 00000000..aad1b86e
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/db_com_prefc_med_dis_treat_before_update.csv
@@ -0,0 +1,9 @@
+"dcf_dsf_inst_cd","treatment_code","pre_num","regist_ymd","update_ymd","regist_date","create_user","update_date","update_user","sys_regist_date","regist_prgm_id","sys_update_date","update_prgm_id"
+"009901649","1001","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2201","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2203","2789","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2205","2033","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2206","0","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009929798","0902","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009929798","0915","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"99999999999","1234","1111","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_delete.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_delete.csv
new file mode 100644
index 00000000..d1d53673
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_delete.csv
@@ -0,0 +1,4 @@
+"dcf_dsf_inst_cd","treatment_code","pre_num","regist_ymd","update_ymd","regist_date","create_user","update_date","update_user","sys_regist_date","regist_prgm_id","sys_update_date","update_prgm_id"
+"009901649","1001","0","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009929798","0902","0","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
+"009929798","0915","543","20171008","20171011","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/11 21:20:37","clsPrefcMedDisTreat"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_insert.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_insert.csv
new file mode 100644
index 00000000..819aa6dc
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_insert.csv
@@ -0,0 +1,10 @@
+"dcf_dsf_inst_cd","treatment_code","pre_num","regist_ymd","update_ymd","regist_date","create_user","update_date","update_user","sys_regist_date","regist_prgm_id","sys_update_date","update_prgm_id"
+"009901649","1001","NULL","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009901679","2201","NULL","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009901679","2203","2789","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009901679","2205","2033","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009901679","2206","0","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009929798","0902","NULL","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009929798","0915","NULL","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"009929798","0915","NULL","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
+"99999999999","1234","123456","20230510","NULL","NULL","NULL","NULL","NULL","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper","2023/05/10 20:57:12","com_prefc_med_dis_treat_mapper"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_update.csv b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_update.csv
new file mode 100644
index 00000000..baecab69
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/expect_com_prefc_med_dis_treat_update.csv
@@ -0,0 +1,9 @@
+"dcf_dsf_inst_cd","treatment_code","pre_num","regist_ymd","update_ymd","regist_date","create_user","update_date","update_user","sys_regist_date","regist_prgm_id","sys_update_date","update_prgm_id"
+"009901649","1001","0","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"009901679","2201","NULL","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
+"009901679","2203","NULL","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"009901679","2205","1987","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"009901679","2206","NULL","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"009929798","0902","0","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"009929798","0915","543","20171008","20230511","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2023/05/11 08:49:28","com_prefc_med_dis_treat_mapper"
+"99999999999","1234","1111","20171008","NULL","NULL","NULL","NULL","NULL","2017/10/08 20:57:12","clsPrefcMedDisTreat","2017/10/08 20:57:12","clsPrefcMedDisTreat"
diff --git a/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/test_com_prefc_med_dis_treat_mapper.py b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/test_com_prefc_med_dis_treat_mapper.py
new file mode 100644
index 00000000..a0597df9
--- /dev/null
+++ b/ecs/jskult-batch-daily/tests/batch/ultmarc/utmp_tables/table_mapper/com_prefc_med_dis_treat/test_com_prefc_med_dis_treat_mapper.py
@@ -0,0 +1,251 @@
+import os.path as path
+from datetime import datetime
+from decimal import Decimal
+
+import pytest
+
+from src.batch.common.batch_context import BatchContext
+from src.batch.ultmarc.utmp_tables.table_mapper.concrete import com_prefc_med_dis_treat_mapper
+from src.db.database import Database
+from tests.testing_utility import (assert_table_results,
+                                   create_db_data_from_csv,
+                                   create_delete_sql_with_parameter,
+                                   create_insert_sql_with_parameter,
+                                   create_ultmarc_table_mapper_sut,
+                                   create_ultmarc_test_data_from_csv)
+
+
+class TestComPrefcMedDisTreatMapper:
+    """レイアウト区分134: COM_都道府県医療機能情報(疾患治療)"""
+
+    db: Database
+    batch_context: BatchContext
+    test_file_path: str = path.dirname(__file__)
+
+    @pytest.fixture(autouse=True, scope='function')
+    def pre_test(self, database: Database):
+        """テスト実行前後処理"""
+        self.batch_context = BatchContext.get_instance()
+        # setup
+        self.db = database
+        self.db.connect()
+        self.db.begin()
+
+        # testing
+        yield
+
+        # teardown
+        self.db.rollback()
+        self.db.disconnect()
+
+    def test_insert_record(self):
+        """
+        Cases:
+            COM_都道府県医療機能情報(疾患治療)テーブルにレコードを登録する
+        Arranges:
+            - CSVデータを用意し、読み込む
+            - 追加対象となるレコードを削除する
+        Expects:
+            - 登録内容が期待値と一致すること
+        """
+
+        # Arrange
+        # 処理日設定
+        self.batch_context.syor_date = datetime.strftime(datetime.now(), '%Y/%m/%d')
+        # テスト用のCSVを読み込む
+        test_dat_file = create_ultmarc_test_data_from_csv(path.join(self.test_file_path, 'com_prefc_med_dis_treat_insert.csv'))
+        # 一旦全データをDBから削除
+        delete_sql, delete_parameter = create_delete_sql_with_parameter('src05.com_prefc_med_dis_treat', {'1': '1'})
+        self.db.execute(delete_sql, delete_parameter)
+
+        # Act
+        for line_number, line in enumerate(test_dat_file, start=1):
+            sut: com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper = create_ultmarc_table_mapper_sut(line, self.db)
+            assert type(sut) is com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper, f'{line_number}行目:マッパークラスが期通りか'
+            sut.make_query()
+            sut.execute_queries()
+
+        # Assert
+        # 期待値ファイルを読み込む
+        expect_data_list = create_db_data_from_csv(path.join(self.test_file_path, 'expect_com_prefc_med_dis_treat_insert.csv'))
+        primary_keys_dcf_dsf_inst_cd = [{'dcf_dsf_inst_cd': columns['dcf_dsf_inst_cd']} for columns in expect_data_list]
+        primary_keys_treatment_code = [{'treatment_code': columns['treatment_code']} for columns in expect_data_list]
+        actual_data_list = []
+        sp_field_select_sql = """\
+        SELECT * FROM src05.com_prefc_med_dis_treat
+        WHERE
+            dcf_dsf_inst_cd = :dcf_dsf_inst_cd
+            AND
+            treatment_code = :treatment_code
+        """
+        for param_dcf_dsf_inst_cd, param_treatment_code in zip(primary_keys_dcf_dsf_inst_cd, primary_keys_treatment_code):
+            sp_field_data = self.db.execute_select(
+                sp_field_select_sql,
+                {**param_dcf_dsf_inst_cd, **param_treatment_code})
+            assert len(sp_field_data) == 1, '1件取得できていること'
+            actual_data_list.append(sp_field_data[0])
+
+        # 期待値検査
+        ignore_columns = ['pre_num', 'regist_ymd', 'sys_update_date', 'sys_regist_date']
+        assert_table_results(actual_data_list, expect_data_list, ignore_col_name=ignore_columns)
+        # 動的日付項目の個別確認
+        line_number = 0
+        for actual_row, expect_row in zip(actual_data_list, expect_data_list):
+            line_number += 1
+            for actual_col_name, expect_col_name in zip(actual_row, expect_row):
+                if actual_col_name in ignore_columns:
+                    if actual_col_name == 'pre_num':
+                        if expect_row[expect_col_name] is not None and len(expect_row[expect_col_name]) > 0:
+                            assert actual_row[actual_col_name] == Decimal(expect_row[expect_col_name]), f'{line_number}行目:{actual_col_name}が、期待値と一致すること'
+                    else:
+                        assert actual_row[actual_col_name] >= expect_row[expect_col_name], f'{line_number}行目:{actual_col_name}が、期待値以降であること'
+
+    def test_update_record(self):
+        """
+        Cases:
+            COM_都道府県医療機能情報(疾患治療)テーブルのレコードを更新する
+        Arranges:
+            - CSVデータを用意し、読み込む
+            - 更新対象となるレコードを登録する
+        Expects:
+            - 登録内容が期待値と一致すること
+        """
+
+        # Arrange
+        # 処理日設定
+        self.batch_context.syor_date = datetime.strftime(datetime.now(), '%Y/%m/%d')
+        # テスト用のCSVを読み込む
+        test_dat_file = create_ultmarc_test_data_from_csv(path.join(self.test_file_path, 'com_prefc_med_dis_treat_update.csv'))
+        # 一旦全データをDBから削除
+        delete_sql, delete_parameter = create_delete_sql_with_parameter('src05.com_prefc_med_dis_treat', {'1': '1'})
+        self.db.execute(delete_sql, delete_parameter)
+        # テストデータをDBに登録
+        # DBデータを読み込む
+        test_sql_data_list = create_db_data_from_csv(path.join(self.test_file_path, 'db_com_prefc_med_dis_treat_before_update.csv'))
+        for test_data in test_sql_data_list:
+            insert_sql, insert_parameter = create_insert_sql_with_parameter(
+                'src05.com_prefc_med_dis_treat',
+                test_data.keys(),
+                test_data.values()
+            )
+            self.db.execute(insert_sql, insert_parameter)
+
+        # Act
+        for line_number, line in enumerate(test_dat_file, start=1):
+            sut: com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper = create_ultmarc_table_mapper_sut(line, self.db)
+            assert type(sut) is com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper, f'{line_number}行目:マッパークラスが期通りか'
+            sut.make_query()
+            sut.execute_queries()
+
+        # Assert
+        # 期待値ファイルを読み込む
+        expect_data_list = create_db_data_from_csv(path.join(self.test_file_path, 'expect_com_prefc_med_dis_treat_update.csv'))
+        primary_keys_dcf_dsf_inst_cd = [{'dcf_dsf_inst_cd': columns['dcf_dsf_inst_cd']} for columns in expect_data_list]
+        primary_keys_treatment_code = [{'treatment_code': columns['treatment_code']} for columns in expect_data_list]
+        actual_data_list = []
+        sp_field_select_sql = """\
+        SELECT * FROM src05.com_prefc_med_dis_treat
+        WHERE
+            dcf_dsf_inst_cd = :dcf_dsf_inst_cd
+            AND
+            treatment_code = :treatment_code
+        """
+        for param_dcf_dsf_inst_cd, param_treatment_code in zip(primary_keys_dcf_dsf_inst_cd, primary_keys_treatment_code):
+            sp_field_data = self.db.execute_select(
+                sp_field_select_sql,
+                {**param_dcf_dsf_inst_cd, **param_treatment_code})
+            assert len(sp_field_data) == 1, '1件取得できていること'
+            actual_data_list.append(sp_field_data[0])
+
+        # 期待値検査
+        ignore_columns = ['pre_num', 'regist_ymd', 'update_ymd', 'sys_update_date', 'sys_regist_date']
+        assert_table_results(actual_data_list, expect_data_list, ignore_col_name=ignore_columns)
+        # 動的日付項目の個別確認
+        line_number = 0
+        for actual_row, expect_row in zip(actual_data_list, expect_data_list):
+            line_number += 1
+            for actual_col_name, expect_col_name in zip(actual_row, expect_row):
+                if actual_col_name in ignore_columns:
+                    if expect_row[expect_col_name] is None:
+                        assert actual_row[actual_col_name] is None, f'{line_number}行目:{actual_col_name}が、登録されていないこと'
+                    else:
+                        if actual_col_name == 'pre_num':
+                            if expect_row[expect_col_name] is not None and len(expect_row[expect_col_name]) > 0:
+                                assert actual_row[actual_col_name] == Decimal(expect_row[expect_col_name]), f'{line_number}行目:{actual_col_name}が、期待値と一致すること'
+                        else:
+                            assert actual_row[actual_col_name] >= expect_row[expect_col_name], f'{line_number}行目:{actual_col_name}が、期待値以降であること'
+
+    def test_logical_delete(self):
+        """
+        Cases:
+            COM_都道府県医療機能情報(疾患治療)テーブルのレコードを1件論理削除する
+        Arranges:
+            - CSVデータを用意し、読み込む
+            - 削除対象となるレコードを登録する
+        Expects:
+            - 登録内容が期待値と一致すること
+        """
+
+        # Arrange
+        # 処理日設定
+        self.batch_context.syor_date = datetime.strftime(datetime.now(), '%Y/%m/%d')
+        # テスト用のCSVを読み込む
+        test_dat_file = create_ultmarc_test_data_from_csv(path.join(self.test_file_path, 'com_prefc_med_dis_treat_delete.csv'))
+        # 一旦全データをDBから削除
+        delete_sql, delete_parameter = create_delete_sql_with_parameter('src05.com_prefc_med_dis_treat', {'1': '1'})
+        self.db.execute(delete_sql, delete_parameter)
+        # テストデータをDBに登録
+        # DBデータを読み込む
+        test_sql_data_list = create_db_data_from_csv(path.join(self.test_file_path, 'db_com_prefc_med_dis_treat_before_delete.csv'))
+        for test_data in test_sql_data_list:
+            insert_sql, insert_parameter = create_insert_sql_with_parameter(
+                'src05.com_prefc_med_dis_treat',
+                test_data.keys(),
+                test_data.values()
+            )
+            self.db.execute(insert_sql, insert_parameter)
+
+        # Act
+        for line_number, line in enumerate(test_dat_file, start=1):
+            sut: com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper = create_ultmarc_table_mapper_sut(line, self.db)
+            assert type(sut) is com_prefc_med_dis_treat_mapper.ComPrefcMedDisTreatMapper, f'{line_number}行目:マッパークラスが期通りか'
+            sut.make_query()
+            sut.execute_queries()
+
+        # Assert
+        # 期待値ファイルを読み込む
+        expect_data_list = create_db_data_from_csv(path.join(self.test_file_path, 'expect_com_prefc_med_dis_treat_delete.csv'))
+        primary_keys_dcf_dsf_inst_cd = [{'dcf_dsf_inst_cd': columns['dcf_dsf_inst_cd']} for columns in expect_data_list]
+        primary_keys_treatment_code = [{'treatment_code': columns['treatment_code']} for columns in expect_data_list]
+        actual_data_list = []
+        sp_field_select_sql = """\
+        SELECT * FROM src05.com_prefc_med_dis_treat
+        WHERE
+            dcf_dsf_inst_cd = :dcf_dsf_inst_cd
+            AND
+            treatment_code = :treatment_code
+        """
+        for param_dcf_dsf_inst_cd, param_treatment_code in zip(primary_keys_dcf_dsf_inst_cd, primary_keys_treatment_code):
+            sp_field_data = self.db.execute_select(
+                sp_field_select_sql,
+                {**param_dcf_dsf_inst_cd, **param_treatment_code})
+            assert len(sp_field_data) == 1, '1件取得できていること'
+            actual_data_list.append(sp_field_data[0])
+
+        # 期待値検査
+        ignore_columns = ['pre_num', 'regist_ymd', 'update_ymd', 'sys_update_date', 'sys_regist_date']
+        assert_table_results(actual_data_list, expect_data_list, ignore_col_name=ignore_columns)
+        # 動的日付項目の個別確認
+        line_number = 0
+        for actual_row, expect_row in zip(actual_data_list, expect_data_list):
+            line_number += 1
+            for actual_col_name, expect_col_name in zip(actual_row, expect_row):
+                if actual_col_name in ignore_columns:
+                    if expect_row[expect_col_name] is None:
+                        assert actual_row[actual_col_name] is None, f'{line_number}行目:{actual_col_name}が、登録されていないこと'
+                    else:
+                        if actual_col_name == 'pre_num':
+                            if expect_row[expect_col_name] is not None and len(expect_row[expect_col_name]) > 0:
+                                assert actual_row[actual_col_name] == Decimal(expect_row[expect_col_name]), f'{line_number}行目:{actual_col_name}が、期待値と一致すること'
+                        else:
+                            assert actual_row[actual_col_name] >= expect_row[expect_col_name], f'{line_number}行目:{actual_col_name}が、期待値以降であること'