Adapting the ISO 24617-2 Dialogue Act Annotation Scheme for Modelling Medical Consultations

Effective, professional and socially competent dialogue of health care providers with their patients is essential to best practice in medicine. To identify, categorize and quantify salient features of patient-provider communication, to model interactive processes in medical encounters and to design digital interactive medical services, two important instruments have been developed: (1) medical interaction analysis systems with the Roter Interaction Analysis System (RIAS) as the most widely used by medical practitioners and (2) dialogue act annotation schemes with ISO 24617-2 as a multidimensional taxonomy of interoperable semantic concepts widely used for corpus annotation and dialogue systems design. Neither instrument fits all purposes. In this paper, we perform a systematic comparative analysis of the categories defined in the RIAS and ISO taxonomies. Overcoming the deficiencies and gaps that were found, we propose a number of extensions to the ISO annotation scheme, making it a powerful analytical and modelling instrument for the analysis, modelling and assessment of medical communication.