hi what I understood from cic emails is that they regularly update the documents to our file if we send them...sometimes they notify us upon receipt through email sometmes not..(like for my medical but not for rprf)...never worry about ecas...(my ecas is still IP but the lines were upto date)...they update it once in a while..it varies from time to time and person to person...so if u already sent the medical report sheet to their provided email with all ur correct details (uci,ep, name, dob etc) mentioned, it will be ok..no worries..