Intelligent analysis of heterogeneous data and information sources for efficient decision support presents an interesting yet challenging task in clinical environments. This is particularly the case in stress medicine where digital patient records are becoming popular which contain not only lengthy time series measurements but also unstructured textual documents expressed in form of natural languages. This paper develops a hybrid case-based reasoning system for stress diagnosis which is capable of coping with both numerical signals and textual data at the same time. The total case index consists of two sub-parts corresponding to signal and textual data respectively. For matching of cases on the signal aspect we present a fuzzy similarity matching metric to accommodate and tackle the imprecision and uncertainty in sensor measurements. Preliminary evaluations have revealed that this fuzzy matching algorithm leads to more accurate similarity estimates for improved case ranking and retriev...