A cognitive monitoring wireless apparatus (10, 10) includes a cognitive monitor (12) and a cognitive radio (14). The cognitive monitor receives inputs from a plurality of sensors (32-40, 90, 92) and decides based on the sensed inputs which messages should be forwarded. The cognitive radio receives the messages to be forwarded from the cognitive monitor, selects among available communication formats, and wirelessly communicates the messages. The communication parameters include frequency, maximum allowed power, code, and protocol. The apparatus monitors the hardware and software of healthcare equipment and communicates intelligent information about the condition of the equipment.