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The Emergency Medical Hologram (EMH) is a sophisticated hologram developed in the early 2370s by Starfleet and used on most Federation starships in the late 24th century. The first starship to be equipped with an EMH was the USS Voyager. The formal name of the program is EMH Program AK-1 Diagnostic and Surgical Subroutine Omega-323.

First activated on stardate 48315, it was developed by Dr. Lewis Zimmerman at the Jupiter Station Holoprogramming Center as the embodiment of modern medicine. The EMH was programmed with 5 million possible treatments from the collective information of 2000 medical references and the experience of 47 individual medical officers. The EMH was also supplemented with contingency programs and adaptive programs to learn while serving as a supplement of a normal medical staff in cases of emergency. The EMH program was only meant to function for a maximum of 1500 hours (62.5 days); after this time, memory degradation would occur.

As of 2376, there have been four versions of the EMH, called Mark I, II, III and IV. The Mark I's outward appearance was a copy of its inventor, Dr. Zimmerman. However, as the Mark II was released, the first version soon became obsolete and, thus, was reconfigured for menial tasks such as to scrape plasma conduits or to mine dilithium ore.

Furthermore, the patterns of behavior of the following versions were designed to be more pleasant and courteous and their outward appearance was changed. In addition to that, new ship designs like the USS Prometheus enabled full mobility for the EMH, as the whole ship was outfitted with holographic projectors.