Case-based reasoning systems for medical application are increasingly applied to meet the challenges from the medical domain. This paper looks at the state of the art in case-based reasoning and some systems are classified in this respect. A survey is performed based on the recent publications and research projects in CBR in medicine. Also; the survey is based on e-mail questionnaire to the authors‚Äô to complete the missing property information. Some clear trends in recent projects/systems have been identified such as most of the systems are multi-modal; using a variety of different methods and techniques to serve multipurpose i.e. address more than one task.