This section contains policy, procedures and guidance used by IRCC staff. It is posted on the department’s website as a courtesy to stakeholders.
For immigration medical examinations (IMEs) done inside and outside Canada, the immigration medical assessment outcome will be entered in the Global Case Management System (GCMS).
For example, applicants may be a “risk” due to a communicable disease that may reactivate, such as inactive tuberculosis.
For all M5 codes, the medical officer will add a descriptive code indicating the nature of the excessive demand.
All: Medical assessment can be used for all types of applications. EDE Only: Medical assessment can only be used for excessive demand exempt (EDE) applications. These applicants are exempt from assessment of excessive demand; however, they are not exempt from assessment for risk to public health and safety. This medical certificate can only be used for refugees, refugee claimants, applicants of certain family classes (cannot be used for parents and grandparents [FC4] or other relatives [FC7]) and individuals with protected person status.
TR Only: Medical assessment can only be used for temporary resident (TR) immigration categories. This could be used in a case where the applicant has a medical condition that may not be acceptable for a permanent residence application based on their risk to cause excessive demand, but may be acceptable on a short-term basis.
For all M4/5 and M5/6 codes, the medical officer will add a descriptive code indicating the nature of the excessive demand.
All cases require an “S” code.
Note: For M1 profiles, the surveillance code is set to S1 by default. For other medical profiles, the surveillance code S1 needs to be manually selected.
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