This report presents the Real World Testing results for Get Real Health's certified health IT products, InstantPHR and CHBase, for the 2023 calendar year. Under the ONC Health IT Certification Program, health IT developers are required to conduct Real World Testing and submit annual results to demonstrate compliance with certification criteria. The report outlines the testing methods, which include summative and interactive testing approaches, to capture the successful utilization of certified capabilities in real-world settings. Key findings indicate ongoing conformity to certified criteria, with metrics showing active utilization of the products in patient engagement. The report details the number of views, downloads, and transmissions of health information by patients, confirming the effective deployment of certified capabilities. Additionally, it discusses the interactive testing results for application access and the successful retrieval of patient data via API, reinforcing the products' compliance and operational effectiveness. The report concludes with a comparison of results from the previous year, indicating consistent utilization and performance.