diff --git a/cmd/main-migration/migrations/20251017082207.sql b/cmd/main-migration/migrations/20251017082207.sql
new file mode 100644
index 00000000..732c8d71
--- /dev/null
+++ b/cmd/main-migration/migrations/20251017082207.sql
@@ -0,0 +1,2 @@
+-- Modify "Item" table
+ALTER TABLE "public"."Item" ALTER COLUMN "ItemGroup_Code" TYPE character varying(15);
diff --git a/cmd/main-migration/migrations/atlas.sum b/cmd/main-migration/migrations/atlas.sum
index 1f920b2d..77732bde 100644
--- a/cmd/main-migration/migrations/atlas.sum
+++ b/cmd/main-migration/migrations/atlas.sum
@@ -1,4 +1,4 @@
-h1:sU0SrZhFKtCYoF46RbBCtQHOoDtvLJtLcIfBvmeawkg=
+h1:/NZRnBd4SNPxw+Sv7Fhn/VBxN0wRNU4OldkTUn6GtbI=
 20250904105930.sql h1:MEM6blCgke9DzWQSTnLzasbPIrcHssNNrJqZpSkEo6k=
 20250904141448.sql h1:J8cmYNk4ZrG9fhfbi2Z1IWz7YkfvhFqTzrLFo58BPY0=
 20250908062237.sql h1:Pu23yEW/aKkwozHoOuROvHS/GK4ngARJGdO7FB7HZuI=
@@ -47,4 +47,5 @@ h1:sU0SrZhFKtCYoF46RbBCtQHOoDtvLJtLcIfBvmeawkg=
 20251016010845.sql h1:4BncQdDOasRZJkzVJrSJJA7091A9VPNVx/faUCUPhBM=
 20251016011023.sql h1:9JB9eFZKURK5RoCVDKR6glSvdJ8NTXrN7K/4q51zkz4=
 20251016062912.sql h1:ACNn0fe+EMqUt3hoY+Dr3uqAV/QICBa1+mIW7fUc9Fk=
-20251017060617.sql h1:KzIbA9fYORIK9aGWMMf0te5/8oThYFCCCSQVktGO0K0=
+20251017060617.sql h1:4T3t9ifWrEQTPMSM0XJ98pF7Qdt+UfgtMui17bhrnWI=
+20251017082207.sql h1:M3k5WPGt8gxv/4kB71di+78L/FyXrxhgGtXxGedwEps=
diff --git a/internal/domain/main-entities/item/entity.go b/internal/domain/main-entities/item/entity.go
index 9ac471ad..e0ff4e21 100644
--- a/internal/domain/main-entities/item/entity.go
+++ b/internal/domain/main-entities/item/entity.go
@@ -11,7 +11,7 @@ type Item struct {
 	ecore.Main                       // adjust this according to the needs
 	Code           string            `json:"code" gorm:"unique;size:50"`
 	Name           string            `json:"name" gorm:"size:100"`
-	ItemGroup_Code ero.ItemGroupCode `json:"itemGroup_code" gorm:"size:10"`
+	ItemGroup_Code ero.ItemGroupCode `json:"itemGroup_code" gorm:"size:15"`
 	Uom_Code       *string           `json:"uom_code" gorm:"size:10"`
 	Uom            *eu.Uom           `json:"uom,omitempty" gorm:"foreignKey:Uom_Code;references:Code"`
 	Infra_Id       *uint16           `json:"infra_id"`
diff --git a/internal/domain/main-entities/medical-action-src/dto.go b/internal/domain/main-entities/medical-action-src/dto.go
index a4796a75..32e248d8 100644
--- a/internal/domain/main-entities/medical-action-src/dto.go
+++ b/internal/domain/main-entities/medical-action-src/dto.go
@@ -8,7 +8,7 @@ import (
 type CreateDto struct {
 	Code      string `json:"code" validate:"maxLength=20"`
 	Name      string `json:"name" validate:"maxLength=50"`
-	Type_Code string `json:"type_code" validate:"maxLength:20"`
+	Type_Code string `json:"type_code" validate:"maxLength=20"`
 	Item_Id   *uint  `json:"item_id"`
 }
 
diff --git a/internal/domain/references/organization/organization.go b/internal/domain/references/organization/organization.go
index bf11fbd6..04c4fa2a 100644
--- a/internal/domain/references/organization/organization.go
+++ b/internal/domain/references/organization/organization.go
@@ -30,6 +30,7 @@ const (
 	ITGCMCUSub   ItemGroupCode = "mcuSub"
 	ITGCEmpFee   ItemGroupCode = "employee-fee"
 	ITGCDocFee   ItemGroupCode = "doctor-fee"
+	ITGCMedAct   ItemGroupCode = "medical-action"
 
 	IFGCBuilding  InfraGroupCode = "building"      // Bangunan
 	IFGCFloor     InfraGroupCode = "floor"         // Lantai
diff --git a/internal/use-case/main-use-case/medical-action-src/case.go b/internal/use-case/main-use-case/medical-action-src/case.go
index d3fb840b..cd42766c 100644
--- a/internal/use-case/main-use-case/medical-action-src/case.go
+++ b/internal/use-case/main-use-case/medical-action-src/case.go
@@ -34,6 +34,9 @@ func Create(input e.CreateDto) (*d.Data, error) {
 			return err
 		}
 
+		if err := createItem(&input, &event, tx); err != nil {
+			return err
+		}
 		if resData, err := CreateData(input, &event, tx); err != nil {
 			return err
 		} else {
diff --git a/internal/use-case/main-use-case/medical-action-src/helper.go b/internal/use-case/main-use-case/medical-action-src/helper.go
index 3e54a3eb..c955274d 100644
--- a/internal/use-case/main-use-case/medical-action-src/helper.go
+++ b/internal/use-case/main-use-case/medical-action-src/helper.go
@@ -5,7 +5,17 @@ Any functions that are used internally by the use-case
 package medicalactionsrc
 
 import (
+	ei "simrs-vx/internal/domain/main-entities/item"
 	e "simrs-vx/internal/domain/main-entities/medical-action-src"
+
+	ero "simrs-vx/internal/domain/references/organization"
+
+	ui "simrs-vx/internal/use-case/main-use-case/item"
+
+	pl "simrs-vx/pkg/logger"
+	pu "simrs-vx/pkg/use-case-helper"
+
+	"gorm.io/gorm"
 )
 
 func setData[T *e.CreateDto | *e.UpdateDto](input T, data *e.MedicalActionSrc) {
@@ -22,3 +32,18 @@ func setData[T *e.CreateDto | *e.UpdateDto](input T, data *e.MedicalActionSrc) {
 	data.Type_Code = inputSrc.Type_Code
 	data.Item_Id = inputSrc.Item_Id
 }
+
+func createItem(input *e.CreateDto, event *pl.Event, tx *gorm.DB) error {
+	itemCreate := ei.CreateDto{
+		Code:           pu.AddPrefix("medAct-", input.Code),
+		Name:           input.Name,
+		ItemGroup_Code: ero.ITGCMedAct,
+	}
+	item, err := ui.CreateData(itemCreate, event, tx)
+	if err != nil {
+		return err
+	}
+
+	input.Item_Id = &item.Id
+	return nil
+}