This paper describes the Patient Record Manager and the Workflow toolset of the wirelessbased e-health system Ward-In-Hand, developed inside an IST European project and currently in use within three hospital wards: Italy, Spain and Germany. The lack of homogeneity in the healthcare organisations required a suitable implementation of WorkFlow automation tools to create and manage the execution of the caregiving processes, customising them to local ward needs. Solutions for this problem, as well as the integration of the workflow organiser, to be used by individual health professional during daily activity, with the Patient record Manager are discussed.