A wireless medical device (10) includes at least one physiological sensor (12) configured to measure a vital sign or a physiological parameter data and a wireless transceiver (24). At least one processor (22 24 34) is programmed to: construct a data stream comprising a sequence of data packets the data packets containing physiological parameter data acquired by the at least one physiological sensor operate the wireless transceiver to transmit the data stream to an associated monitoring station (14) via a wireless communication channel (18) receive a gap report from the associated monitoring station identifying at least one missing data packet of the data stream that was not received at the associated monitoring station and re transmit the at least one missing data packet identified by the gap report to the associated monitoring station via the wireless communication channel.
