We carried out the fifth HEXAnord meeting in Åland September 21-23, 2011. We were 22 participants from Scandinavia, USA and UK. The theme of this meeting was “Pragmatics of using, representing and accessing clinical text and information” and was organized by Øystein Nytrø, from NTNU, Trondheim, Norway but the lectures were the senior particiapants. The theme was also part of the PhD-training course with 12 PhD students from the network. Special invited guests were Rebecka Janols from Uppsala University and Mike Conway from University of California, San Diego. Mikes trip to Scandinavia were carried out within the framework of the Interlock project. Except of working we also did both sauna and sea bathing, a bicycle excursion and danced on the beautiful island of Åland.