diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_trt_course_mapper.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_trt_course_mapper.py
new file mode 100644
index 00000000..e8b4388f
--- /dev/null
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/table_mapper/concrete/com_trt_course_mapper.py
@@ -0,0 +1,99 @@
+from src.batch.ultmarc.utmp_tables.table_mapper.ultmarc_table_mapper import \
+    UltmarcTableMapper
+from src.batch.ultmarc.utmp_tables.tables.com_trt_course import ComTrtCourse
+
+
+class ComTrtCourseMapper(UltmarcTableMapper):
+    """レイアウト区分001: COM_診療科目 登録処理"""
+
+    # レコード存在確認SQL
+    RECORD_EXISTS_QUERY = """\
+    SELECT
+        COUNT(*) AS count_num
+    FROM
+        src05.com_trt_course
+    WHERE
+        trt_course_cd = :trt_course_cd
+    """
+    # データ登録用SQL
+    INSERT_QUERY = """\
+    INSERT INTO src05.com_trt_course
+    (
+        trt_course_cd,
+        trt_course_name_kana,
+        trt_course_name_abb,
+        trt_course_name,
+        regist_ymd,
+        sys_regist_date,
+        regist_prgm_id,
+        sys_update_date,
+        update_prgm_id
+    )
+    VALUES (
+        :trt_course_cd,
+        :trt_course_name_kana,
+        :trt_course_name_abb,
+        :trt_course_name,
+        :execute_date_str_ymd,
+        :execute_datetime,
+        :program_name,
+        :execute_datetime,
+        :program_name
+    )
+    """
+
+    # 更新用SQL
+    UPDATE_QUERY = """\
+    UPDATE
+        src05.com_trt_course
+    SET
+        trt_course_name_kana = :trt_course_name_kana,
+        trt_course_name_abb = :trt_course_name_abb,
+        trt_course_name = :trt_course_name,
+        update_ymd = :execute_date_str_ymd,
+        sys_update_date = :execute_datetime,
+        update_prgm_id = :program_name
+    WHERE
+        trt_course_cd = :trt_course_cd
+    """
+
+    # 修正区分が「C(削除)」の場合の更新SQL
+    LOGICAL_DELETE_QUERY = """\
+    UPDATE
+        src05.com_trt_course
+    SET
+        delete_ymd = :execute_date_str_ymd,
+        sys_update_date = :execute_date_str_ymd,
+        update_prgm_id = :program_name
+    WHERE
+        trt_course_cd = :trt_course_cd
+    """
+    record: ComTrtCourse
+
+    def __init__(self, record: list[str], db) -> None:
+        super().__init__(record, db, ComTrtCourse)
+        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C(削除)の場合、論理削除
+        if self.record.maint_flag == 'C':
+            self.queries.append(self.LOGICAL_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
+
+        # 存在する場合ではUpdate
+        return self.UPDATE_QUERY
diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_trt_course.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_trt_course.py
new file mode 100644
index 00000000..0bc0612d
--- /dev/null
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_trt_course.py
@@ -0,0 +1,18 @@
+from src.batch.ultmarc.utmp_tables.tables.ultmarc_table import UltmarcTable
+
+
+class ComTrtCourse(UltmarcTable):
+    """レイアウト区分001: COM_診療科目"""
+    trt_course_cd: str          # 診療科目コード
+    trt_course_name_kana: str   # 診療科目名カナ
+    trt_course_name_abb: str    # 診療科目名略称
+    trt_course_name: str        # 診療科目名
+    maint_flag: str             # 修正区分
+
+    def __init__(self, record: list[str]):
+        super().__init__(record)
+        self.trt_course_cd = record[1]
+        self.maint_flag = record[2]
+        self.trt_course_name_abb = record[5]
+        self.trt_course_name = record[6]
+        self.trt_course_name_kana = record[7]