R10 ok is the completeness check and if any documents not submitted will be highlighted.
Requirement to submit a complete electronic application
In Express Entry, applicants are required to submit a complete electronic application for permanent residence (e-APR) within 90 calendar days of...
IRCC aim is to welcome new immigrants at a rate of around 1 per cent of the population, which would mean 401,000 permanent residents in 2021, 411,000 in 2022, and 421,000 in 2023.
And how they are going, there will be more delays everywhere.
After eligibility starts it is reviewed by Case Processing Agent and Analyst and then Visa Officer.
If you have note by only agent then it is awaiting officer review.
Some GCMS notes are delayed. The legislation allows for extensions when the response requires internal or external consultations, additional review time due to large amount of records, or when the review could interfere with Service operations.
Non accompanying spouse need not give medicals again as medical admissibility is only checked when application is filed. If Immigration Medical Examination is needed again IRCC will send you instructions.