GCMS NOTE: medical extended or re-medical request on the way?

[thementor]

Hello fellow aspirants,

My GCMS note generated on 03/2022 has Note 1 as follows:

IME reassessment has been granted and a new medical certificate with a validity of 12 months has been issued in GMCs. Should the applicant not land before the expiry of the medical, a new IME will be required. Please pick-up this IME number again in order to update the medical validity on the application.

Office: Ottawa HMB

Assessments:
Eligibility: Not Started
Security: Not Started
Criminality: Passed
Medical: Passed - Expired

CIC Portal: You do not need a medical exam. We will send you a message if this changes.

Admissibilities -> Medical:
Type: Medical
Status: Passed
Validity Date: 11/2021
IME Status - Assessed
IME Reason - Granted

AOR - 02/2021
COR - USA
EE-FSW Outland

Does it mean medical extended or re-medical request on the way?