This document is a Real World Testing Results Report for the year 2023, focusing on the interoperability and usability of the Clinicmind product in two care settings: Physical Medicine and Mental Health care. The report outlines the applicable certified health IT criteria and details the changes made to the original testing plan, including an extended data collection period to capture a comprehensive dataset. The testing methods employed aimed to assess the functionality of specific features required for ONC certification. The report presents key findings, indicating that there was no recorded usage of the implemented features during the testing period, which limited the ability to evaluate system usability and interoperability effectively. It also documents the key milestones achieved throughout the testing process and provides attestation that the report aligns with all requisite elements for real-world testing. The findings reflect the challenges faced in engaging users with the system's features, highlighting the need for improved utilization in future assessments.