This document is a technical report detailing the Real World Testing Plan for the health IT product Raintree, version 10.2.500. It outlines the testing methods and key findings related to real-world interoperability. The report confirms that all certified criteria in the Real World Test Plan for the plan year 2022 are functionally sound, with no non-conformities reported during testing. The testing methodologies included quarterly monitoring of reports, queries, and logs to assess the effectiveness of deployed features. The document also addresses updates to required and voluntary standards, including the United States Core Data for Interoperability (USCDI). It specifies the various clinical care settings where testing was conducted, including specialties such as Rheumatology and Primary Care. Additionally, the report provides metrics and outcomes demonstrating compliance with certification criteria and the exchange of electronic health information, highlighting successful patient access to health information and the efficiency of electronic prescriptions.