http://www.cic.gc.ca/english/resources/tools/medic/assess/images/reassessmentprocessflowchart.jpg
i got some information about medical Reassessment process..
Final decision pending only due to the expiration of the medical certificate OR the validity of the medical certificate is about to expire and the client is unable to land before it (Responsibility of Visa/ Immigration Officer)
Medical Assessment is older than 15 months (Responsibility of Visa/ Immigration Officer)
Has the applicant has been residing in Canada continuously for at least the past 2 years. (Responsibility of Visa/ Immigration Officer)
NO (Responsibility of Visa/ Immigration Officer)
Reissue medical instructions for a full new IME (Responsibility of Visa/ Immigration Officer)
Yes (Responsibility of Visa/ Immigration Officer)
See option b
Medical Assessment done within last 15 months (Responsibility of Visa/ Immigration Officer)
Contact CIC-HB and request a reassessment of the medical file (Responsibility of Visa/ Immigration Officer)
Is there sufficient relevant and up-to-date information to provide an opinion of inadmissibility on health grounds? (Responsibility of Medical Officer or the delegated Health Branch staff)
Yes (Responsibility of Medical Officer or the delegated Health Branch staff)
No (Responsibility of Medical Officer or the delegated Health Branch staff)
Request additional medical information (Responsibility of Medical Officer or the delegated Health Branch staff)
Assess the medical file and the new medical information (Responsibility of Medical Officer or the delegated Health Branch staff)
Opinion of admissibility on health grounds (Responsibility of Medical Officer or the delegated Health Branch staff)
Issue new medical certificate (Responsibility of Medical Officer or the delegated Health Branch staff)
Opinion of inadmissibility on health grounds (Responsibility of Medical Officer or the delegated Health Branch staff)
Do not issue medical certificate (Responsibility of Medical Officer or the delegated Health Branch staff)