The present invention relates to a monitoring and management system, and particularly to a monitoring and management system of chronic diseases. The monitoring and management system comprises a healthrecord unit, a resource sharing unit, a data monitoring unit, an information management unit, a treatment management unit and a medication management unit, the health record unit comprises a personalinformation module, a physical examination information module, a diagnosis information module, a treatment information module and a clinical information module, the resource sharing unit comprises anappointment management module, a consultation management module, an expert management module and a consultation auxiliary module, the treatment management unit comprises a motion management module and a diet management module, and the medication management unit comprises a medication planning module and a medication reminding module. The monitoring and management system can quickly search basic information of patients, is convenient for doctors and patients to carry out early warning, medium-term control and later treatment on some symptoms, complications, dangerous factors and the like, canconduct remote consultation, diagnosis, treatment and rehabilitation guidance, and also enables data collection to be more complete.