Representing Human Barriers in Requirements Engineering: The Case of Electronic Health Records

Meira Levy, Michal Pauzner, Irit Hadar

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review


Human barriers were found to impede the acceptance, adoption, or effective use of technology, manifested as under-usage of systems, non-compliance with regulations, short-term use of behavioral change systems, and more. These barriers can be overcome only by meeting appropriate requirements. However, such requirements are frequently overlooked. Different visual models are offered for supporting the derivation of requirements from, e.g., goals and emotions; however, we found no visualization techniques that support the elicitation and specification of requirements derived from known human barriers. The recruitment of Service Design visualization methods for visually expressing such barriers may help bridge this gap. This paper presents this vision and a demonstration for the case of Electronic Health Records, utilizing the Causal Loop Diagram to represent clinicians' barriers when using a system. The visualization enabled by the diagram allows, for example, identification of use cases in which the system output may be overloaded with information (inducing cognitive overload) and still lacking relevant information (e.g., patient information beyond their clinical data), ultimately leading to suboptimal clinical decisions. This demonstration indicates the promise of this approach for eliciting frequently missed requirements rooted in users' cognitive barriers.

Original languageEnglish
Title of host publicationProceedings - 29th IEEE International Requirements Engineering Conference, RE 2021
EditorsAna Moreira, Kurt Schneider, Michael Vierhauser, Jane Cleland-Huang
PublisherIEEE Computer Society
Number of pages6
ISBN (Electronic)9781665428569
StatePublished - 2021
Event29th IEEE International Requirements Engineering Conference, RE 2021 - Virtual, Notre Dame, United States
Duration: 20 Sep 202124 Sep 2021

Publication series

NameProceedings of the IEEE International Conference on Requirements Engineering
ISSN (Print)1090-705X
ISSN (Electronic)2332-6441


Conference29th IEEE International Requirements Engineering Conference, RE 2021
Country/TerritoryUnited States
CityVirtual, Notre Dame

Bibliographical note

Publisher Copyright:
© 2021 IEEE.


  • Causal loop diagram
  • Human barriers
  • Service design
  • Visual model

ASJC Scopus subject areas

  • General Computer Science
  • General Engineering
  • Strategy and Management


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