Healthcare organizations face care variation, slow guideline updates, and limited visibility into how clinical decisions are made. Trisotech addresses these risks by enabling clinical and operational leaders to explicitly define, govern, and execute clinical and administrative logic. Built as a decision-centric orchestration platform for healthcare, and based on BPM+ (DMN, BPMN, CMMN, SDMN) standards, Trisotech is natively integrated with FHIR, SMART on FHIR, and CDS Hooks. It delivers interoperable healthcare automation that is portable across EHR environments and provides end-to-end traceability. AI may be leveraged under explicit governance, through Governed AI Orchestration, but transparent clinical logic and human accountability remain.