Thank you very much. However, just to double confirm, do you mean that my wife's X-ray result will NOT be a problem for passing "the R10 completeness check". According to International Mobility Program: Provincial nominees and permanent residence applications – Bridging open work permits for certain federal economic class applicants (I'm not allowed to post the link), "To be eligible for a BOWP, foreign nationals must" ... "their electronic application for permanent residence (e‑APR) submitted under Express Entry has passed the R10 completeness check". I will be the main application in our PR application. Thanks again.