diff --git a/Services/server/src/rabbitmq/handler.ts b/Services/server/src/rabbitmq/handler.ts
new file mode 100644
index 0000000..298a130
--- /dev/null
+++ b/Services/server/src/rabbitmq/handler.ts
@@ -0,0 +1,103 @@
+import { EhrFile } from "../interfaces/ehr-fs";
+import esClient from "../elasticsearch";
+import minioClient from "../storage";
+
+const cachedBuffer: Record<string, Buffer> = {};
+
+export async function handler(key: string): Promise<boolean> {
+  console.info(`[AMQ] Messages received - key: ${key}`);
+
+  const [bucket, ...fragment] = key.split("/");
+  const pathname = fragment.join("/");
+
+  if (!cachedBuffer[key]) {
+    const stream = await minioClient.getObject(bucket, pathname);
+    const buffer = Buffer.concat(await stream.toArray());
+    cachedBuffer[key] = buffer;
+  }
+
+  const rec = await getInfo(pathname);
+
+  const result = rec
+    ? await handleFoundRecord(rec, cachedBuffer[key])
+    : await handleNotFoundRecord(pathname, cachedBuffer[key]);
+
+  return result;
+}
+
+// Get info and delete it from ElasticSearch to re-index
+async function getInfo(pathname: string) {
+  const result = await esClient
+    .search<EhrFile & { attachment?: Record<string, unknown> }>({
+      index: "my-test-index",
+      query: { match: { pathname } },
+    })
+    .catch((e) => console.error(e));
+
+  // pathname is unique and should not have multiple record with same path
+  if (result && result.hits.hits.length > 0 && result.hits.hits[0]._source) {
+    await esClient
+      .delete({
+        index: "my-test-index",
+        id: result.hits.hits[0]._id,
+      })
+      .catch((e) => console.error(e));
+
+    return result.hits.hits[0]._source;
+  }
+
+  if (result && result.hits.hits.length === 0) console.info("Index Not Found");
+
+  return false;
+}
+
+/**
+ * Handle when record in elasticsearch cannot be found.
+ * This will insert empty metadata.
+ */
+async function handleNotFoundRecord(pathname: string, buffer: Buffer) {
+  const filename = pathname.split("/").at(-1);
+  const base64 = Buffer.from(buffer).toString("base64");
+
+  const metadata = {
+    pathname,
+    fileName: filename ?? "n/a", // should not possible to fallback
+    fileSize: Buffer.byteLength(buffer),
+    fileType: "",
+    title: "",
+    description: "",
+    category: [],
+    keyword: [],
+    upload: true,
+    createdAt: new Date().toISOString(),
+    createdBy: "n/a",
+    updatedAt: new Date().toISOString(),
+    updatedBy: "n/a",
+  } satisfies Partial<EhrFile>;
+
+  const result = await esClient
+    .index({
+      pipeline: "attachment",
+      index: "my-test-index",
+      document: { data: base64, ...metadata },
+    })
+    .catch((e) => console.error(e));
+
+  if (result) return true;
+
+  return false;
+}
+
+async function handleFoundRecord(metadata: EhrFile, buffer: Buffer) {
+  const result = await esClient
+    .index({
+      pipeline: "attachment",
+      index: "my-test-index",
+      document: { data: Buffer.from(buffer).toString("base64"), ...metadata, upload: true },
+    })
+    .catch((e) => console.error(e));
+
+  if (result) return true;
+
+  return false;
+}
diff --git a/Services/server/src/rabbitmq/index.ts b/Services/server/src/rabbitmq/index.ts
new file mode 100644
index 0000000..2115eaf
--- /dev/null
+++ b/Services/server/src/rabbitmq/index.ts
@@ -0,0 +1,38 @@
+import amqp from "amqplib";
+
+export async function init(cb: (key: string) => boolean | Promise<boolean>) {
+  if (!process.env.AMQ_URL || !process.env.AMQ_QUEUE) return;
+
+  const { AMQ_URL: url, AMQ_QUEUE: queue } = process.env;
+
+  const connection = await amqp.connect(url);
+
+  const channel = await connection.createChannel();
+
+  channel.assertQueue(queue, { durable: true });
+  channel.prefetch(1);
+
+  console.log("[RabbitMQ] Listening for message...");
+
+  channel.consume(
+    queue,
+    async (msg) => {
+      if (!msg) return;
+
+      const parsed: Record<string, unknown> = JSON.parse(msg.content.toString());
+
+      if (typeof parsed.Key !== "string" || parsed.Key.includes(".keep")) return channel.ack(msg);
+
+      const key = parsed.Key;
+
+      if (await cb(key)) return channel.ack(msg);
+
+      return await new Promise((resolve) => setTimeout(() => resolve(channel.nack(msg)), 3000));
+    },
+    { noAck: false },
+  );
+}
+
+export default {
+  init,
+};