Abstract

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.