This document is a technical report detailing the real-world testing results for the CarePaths EHR conducted in 2022. The report outlines the testing methods employed, which included five sessions with four different users, where interoperability criteria were assessed. Each session was conducted via Zoom, allowing for direct observation of users completing the required measures. The report specifies the measures tested, including the successful receipt and sending of C-CDA documents, documentation of medications, and patient portal access. It also highlights the challenges faced during the testing, particularly regarding API calls from third-party applications. The document provides metrics and outcomes for each measure, indicating the success rates achieved. Additionally, it notes that no updates to standards such as SVAP or USCDI were included in the product. The report concludes with key milestones related to the testing process, including preparation and participant identification timelines.