Seeing 'Review Required' for eligibility and 'Passed - Expired' for medical in your GCMS notes, while the eligibility officer's own notes say they're satisfied, can be confusing mid-process.
What members clarified:- A medical status of 'Passed - Expired' means your original result is no longer valid for continued processing — medical results have a limited validity window (commonly around one year).
- Wait for IRCC to formally request a new medical exam rather than booking one on your own. Members were clear: your old medical letter isn't usable anymore, but the correct next step is to wait for IRCC's new request rather than acting preemptively.
- An 'eligibility satisfied' note alongside an expired medical isn't contradictory — eligibility (do you qualify for the program) and admissibility (medical/security clearance) are assessed somewhat separately, and an expired medical doesn't undo a positive eligibility finding.
Takeaway: if your GCMS notes show an expired medical, hold off on rebooking until IRCC sends the formal new medical request — jumping ahead can create confusion or duplicate paperwork.