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The Chinese Olympic Teams were very successful in 2008 Beijing and 2012 London Olympic Games. These results were under efforts of the Knowledge-based Decision Support System (KBDSS) for Science & Medical of Chinese Olympic Teams, including Sports Expert System, Case-based Decision Support System (CBDSS), Relationship Management System, Fundamental Strategies and Innovation System etc. this research investigated historical evolution of science & medical support system for Chinese Olympic Teams, revealed an organizational structure and practical function of KBDSS for Science & Medical of Chinese Olympic Teams. Also studied related policies and organism for backup system of national teams. KeywordsKnowledge-based Decision Support System (KBDSS); Chinese Olympic Teams; Olympic Games