This document is a technical report detailing the real-world testing results for the CarePaths EHR system conducted in 2022. The report outlines the testing methods employed, which included five real-world testing sessions with four different users. Each session was conducted via Zoom, allowing testers to share their screens while completing interoperability measures that had previously been certified. The document presents key findings, including metrics and outcomes for various measures, such as the successful receipt and sending of C-CDAs, documentation of medications, and patient portal access. It also notes challenges faced during the testing, particularly regarding API calls, and provides a summary of changes made to the original testing plan. The report does not include updates on SVAP or USCDI standards and focuses on the performance of the CarePaths EHR in an ambulatory behavioral health setting.