ISO standard 24617-2 for dialogue act annotation, established in 2012, has in the past few years been used both in corpus annotation and in the design of components for spoken and multimodal dialogue systems. This has brought some inaccuracies and undesirbale limitations of the standard to light, which are addressed in a proposed second edition. This second edition allows a more accurate annotation of dependence relations and rhetorical relations in dialogue. Following the ISO 24617-4 principles of semantic annotation, and borrowing ideas from EmotionML, a triple-layered plug-in mechanism is introduced which allows dialogue act descriptions to be enriched with information about their semantic content, about accompanying emotions, and other information, and allows the annotation scheme to be customised by adding application-specific dialogue act types.

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.