For a friend: His VISA is approved. But, the medical has expired already. He has taken a new medical as well. Still, it…

CanadaPermanent Resident1

For a friend: His VISA is approved. But, the medical has expired already. He has taken a new medical as well. Still, it is not updated in his GC key and there is no request for the same as well. What needs to be done in this case in order to avoid any confusions during the immigration?