You should find something more detailed. When did you order your GCMS notes? If you scroll towards the end of the pdf, you would find detailed notes there from Program Assistant and Case Officer. These will be in the form of statements like They are basically statements written in your GCMS notes. As an example, check images 1,2 and 3 in
my google drive . 1 shows the officer's notes. 2 and 3 are for security assessments where all or a portion of the information is redacted.
Your medicals have expired - You might have to submit another medical
if asked. Usually, in cases such as these, IRCC have extended the validity of the medical test AFAIK without having the applicant to do another one.