This document is a technical report detailing the real-world testing results for CarePaths EHR conducted in 2023. It outlines the testing methods and key findings from four sessions with different users, focusing on interoperability criteria certified by the ONC-ACB. Each session involved users sharing their screens via Zoom to demonstrate the completion of required measures, which were recorded for documentation purposes. The report specifies the measures tested, including the successful receipt and sending of C-CDA documents, documentation of medications, and patient portal access. All measures achieved a success rate of 100% across four attempts. Additionally, the report notes that no updates to SVAP or USCDI standards were included. The testing was conducted in ambulatory care settings, specifically within behavioral health specialties, and highlights the preparation and execution timeline for the real-world testing plan.