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Curious what your head canon explanation is
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Come on'n get your jamaharon on! There are no real rules—just don't break the weather control network.
He wasn't even designed to do that. He just adapted well enough to take it in stride. Dude was ridiculously overengineered.
My assumption was that it is part of his design for two reasons: 1) Zimmerman's holographic assistant seems to have that feature and I'm pretty sure she's older, and 2) they can't guarantee what future sickbays will look like so it's better to make a one-size-fits-all system than to build maps for each sickbay design into his program.
True, although the EMH ended up exceeding his design parameters in many ways. Zimmerman was a perfectionist and it shows in his work.
Just as well because you never know when any given Starfleet vessel will end up in a heteromorphic polaron flux that will force the ship into a time loop where only holograms move forward in time, forcing the EMH to derive ship operations and the captain's access codes from first principles so he can pilot the ship out of there from sickbay.
That probably happens on a monthly basis. And then the crew wonders how their holodoc has accumulated 78 years of runtime in five seconds.
Yeah, Zimmerman had the right idea.