Yeah, that's true. If your medical records haven't been updated yet, there's no need to worry. There's a possibility that they will update your medical information and issue the PPR (Passport Request) simultaneously. Additionally, with the recent 20k GIC update, there have been thousands of applications submitted before December 31st. Considering the holiday season with Christmas, Boxing Day, and New Year holidays, there might be some backlogs. Let`s stay positive and wait for results.I callled them and they said that it has been sent to ircc after the results came in . If any other tests are needed (if something was abnormal)they would have notified at that point of time only. IRCC is going crazy these days.