The health problem follow-up record table is a dynamic record to track the progress of a major health problem, which is mostly used to record the condition of patients with chronic diseases. The content of the disease flow chart is generally set in advance, which can include symptoms, signs, auxiliary examination, medication, referral reasons and so on. In practical work, by using the flow chart, health managers can easily use the information recorded in the form to quickly understand the progress of a specific health problem of residents and evaluate the intervention effect in time; If the data recorded in this form are summarized regularly, not only the above objectives can be achieved, but also health managers can learn by themselves and strengthen the accumulation of clinical experience.