{"meta":{"name":"手術実施状況データベース","description":"厚生労働省「病床機能報告」（様式2病棟票）の公表データをもとに、全国の医療機関別の手術実施状況（手術総数・全身麻酔・悪性腫瘍手術・経皮的冠動脈形成術・脳血管内手術など39項目のレセプト算定回数）を出典と報告年度つきで構造化した研究データベース。","publisher":"医療機関AI検索ラボ","publisher_url":"https://medical-ai-search-lab.jp","license":"https://www.mhlw.go.jp/chosakuken/index.html","license_note":"厚生労働省サイト利用規約（公共データ利用規約 PDL1.0 準拠）","license_reuse_note":"出典: 厚生労働省「病床機能報告」を加工して作成。再利用時は出典表記を維持してください。","source":"厚生労働省「病床機能報告」（様式2病棟票・手術系項目）を加工して作成","primary_sources":["https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/open_data_00020.html","https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/open_data_00018.html"],"period_R7":"令和7年度報告（実績: 令和6年4月1日〜令和7年3月31日診療分）","period_R6":"令和6年度報告（実績: 令和5年4月1日〜令和6年3月31日診療分）","accessed":"2026-07-12","spatial_coverage":"全国","facility_count_R7":11487,"methodology":"https://medical-ai-search-lab.jp/db/painless-delivery/methodology","note":"値は病床機能報告（様式2病棟票）のレセプト算定回数。施設が公式サイト等で公表する手術件数とは定義・集計期間が異なる場合がある。R6は月別秘匿（*=1〜9件）によりレンジを含む。逆算・推定はしない。","bulk_data_csv":"https://medical-ai-search-lab.jp/db/surgical-activity/data.csv","bulk_data_note":"行レベルの全データ（施設×項目×年度 905,424行）は data.csv を参照（機械可読・列名は原資料準拠）。","data_dictionary":{"open_data_facility_code":"オープンデータ医療機関コード（年度内でのみ有効）","receipt_code_ika":"医療機関コード（医科レセプト請求コード・年度間結合の推奨キー）","receipt_code_shika":"医療機関コード（歯科）","fiscal_year":"報告年度（R6=令和6年度報告 / R7=令和7年度報告）","item_code":"様式2手術系項目コード（39項目・S11_ITEM_LABELS 参照）","value_state":"値の状態（実数 / 実数ゼロ / 非公表レンジ）","value_exact":"年間合計の実数（value_state=実数/実数ゼロ の場合）","range_min":"非公表レンジの下限（開示分合算・R6のみ）","range_max":"非公表レンジの上限（開示分合算＋9×秘匿セル数・R6のみ）","masked_cell_count":"秘匿された病棟×月セル数（レンジ構成に使用）"},"item_labels":{"short_stay_surgery_3":"短期滞在手術等基本料３","surgery_total":"手術総数","general_anesthesia_total":"全身麻酔の手術総数","cardiopulmonary_bypass_surgery":"人工心肺を用いた手術","thoracoscopic_surgery":"胸腔鏡下手術","laparoscopic_surgery":"腹腔鏡下手術","robot_assisted_surgery":"内視鏡手術用支援機器手術","malignant_tumor_surgery":"悪性腫瘍手術","hyperacute_stroke_care_addon":"超急性期脳卒中加算","tpa_administration":"ｔ－PA投与（脳梗塞に対するもの）","neuroendovascular_surgery":"脳血管内手術","pci":"経皮的冠動脈形成術","surgery_holiday_addon":"手術の休日加算１及び２","surgery_overtime_addon":"手術の時間外加算１及び２","surgery_midnight_addon":"手術の深夜加算１及び２","surgery_organ_01":"手術総数（臓器別 01 皮膚・皮下組織）","ga_organ_01":"全身麻酔の手術（臓器別 01 皮膚・皮下組織）","surgery_organ_02":"手術総数（臓器別 02 筋骨格系・四肢・体幹）","ga_organ_02":"全身麻酔の手術（臓器別 02 筋骨格系・四肢・体幹）","surgery_organ_03":"手術総数（臓器別 03 神経系・頭蓋）","ga_organ_03":"全身麻酔の手術（臓器別 03 神経系・頭蓋）","surgery_organ_04":"手術総数（臓器別 04 眼）","ga_organ_04":"全身麻酔の手術（臓器別 04 眼）","surgery_organ_05":"手術総数（臓器別 05 耳鼻咽喉）","ga_organ_05":"全身麻酔の手術（臓器別 05 耳鼻咽喉）","surgery_organ_06":"手術総数（臓器別 06 顔面・口腔・頸部）","ga_organ_06":"全身麻酔の手術（臓器別 06 顔面・口腔・頸部）","surgery_organ_07":"手術総数（臓器別 07 胸部）","ga_organ_07":"全身麻酔の手術（臓器別 07 胸部）","surgery_organ_08":"手術総数（臓器別 08 心・脈管）","ga_organ_08":"全身麻酔の手術（臓器別 08 心・脈管）","surgery_organ_09":"手術総数（臓器別 09 腹部）","ga_organ_09":"全身麻酔の手術（臓器別 09 腹部）","surgery_organ_10":"手術総数（臓器別 10 尿路系・副腎）","ga_organ_10":"全身麻酔の手術（臓器別 10 尿路系・副腎）","surgery_organ_11":"手術総数（臓器別 11 性器）","ga_organ_11":"全身麻酔の手術（臓器別 11 性器）","surgery_organ_12":"手術総数（臓器別 12 歯科）","ga_organ_12":"全身麻酔の手術（臓器別 12 歯科）"}},"prefectures":[{"prefCode":"01","facilityCount":713},{"prefCode":"02","facilityCount":159},{"prefCode":"03","facilityCount":128},{"prefCode":"04","facilityCount":187},{"prefCode":"05","facilityCount":88},{"prefCode":"06","facilityCount":84},{"prefCode":"07","facilityCount":155},{"prefCode":"08","facilityCount":223},{"prefCode":"09","facilityCount":161},{"prefCode":"10","facilityCount":164},{"prefCode":"11","facilityCount":453},{"prefCode":"12","facilityCount":364},{"prefCode":"13","facilityCount":819},{"prefCode":"14","facilityCount":429},{"prefCode":"15","facilityCount":128},{"prefCode":"16","facilityCount":113},{"prefCode":"17","facilityCount":118},{"prefCode":"18","facilityCount":97},{"prefCode":"19","facilityCount":79},{"prefCode":"20","facilityCount":152},{"prefCode":"21","facilityCount":176},{"prefCode":"22","facilityCount":261},{"prefCode":"23","facilityCount":504},{"prefCode":"24","facilityCount":133},{"prefCode":"25","facilityCount":77},{"prefCode":"26","facilityCount":190},{"prefCode":"27","facilityCount":595},{"prefCode":"28","facilityCount":421},{"prefCode":"29","facilityCount":96},{"prefCode":"30","facilityCount":112},{"prefCode":"31","facilityCount":68},{"prefCode":"32","facilityCount":63},{"prefCode":"33","facilityCount":240},{"prefCode":"34","facilityCount":325},{"prefCode":"35","facilityCount":169},{"prefCode":"36","facilityCount":152},{"prefCode":"37","facilityCount":142},{"prefCode":"38","facilityCount":218},{"prefCode":"39","facilityCount":151},{"prefCode":"40","facilityCount":711},{"prefCode":"41","facilityCount":178},{"prefCode":"42","facilityCount":273},{"prefCode":"43","facilityCount":358},{"prefCode":"44","facilityCount":306},{"prefCode":"45","facilityCount":221},{"prefCode":"46","facilityCount":418},{"prefCode":"47","facilityCount":115}]}