Part of Child Health Interoperability (CHI) implementation guide for child health information services
Newborn Infant Physical Examination (72 hour NIPE)
Newborn Infant Physical Examination (72 hour NIPE)
The Newborn and Infant Physical Examination (NIPE) screening programme screens newborn babies within 72 hours of birth, and then once again between 6 and 8 weeks for conditions relating to their:
- heart
- hips
- eyes
- testes.
Only the 72 hour NIPE is available through NEMS interoperability and this relies on maternity units in your area using the NIPE SMART system (the majority of maternity units do). NIPE is usually carried out in hospital via maternity departments before the baby is discharged. Sometimes it is done at a hospital or community clinic, GP surgery, children's centre or at home. The aim is to spot any problems early so any necessary treatment can be started as soon as possible.
When the test is complete the healthcare professional will save the record and the results will be discussed with the parents. Also, the results will be made available electronically 24 hours later. If the baby needs to be referred for more tests, this will be discussed with the parents.
In some parts of England, Health Visiting Services, which are no longer part of an integrated Community System with a CHIS module, may no longer receive the screening information/results directly. This message closes those gaps.
Data fields available in this message
This table lists the data fields in the NIPE 72 hours results message.
| DCH FHIR event | Description |
|---|---|
| Date or time | The date the examination took place |
| Location | The location recorded as to where the NIPE took place |
| Performing professional | Name of the professional performing the examination |
| SDS job role name | The job role associated with the person |
| Outcome status HIPS | Whether or not a problem was detected or suspected with hips |
|
Outcome status eyes |
Whether or not a problem was detected or suspected with eyes |
|
Outcome status testes |
Whether or not a problem was detected or suspected with testes. |
|
Outcome status heart |
Whether or not a problem was detected or suspected with heart |
| Comment | Supporting text may be given covering regarding the screening test, outcome and actions taken. |
What benefits can be achieved?
This table has been created to help you identify the potential benefits of receiving NIPE (72 Hours) screening results via NEMS. The level of benefit depends on your current processes.
| Do you currently? | with NEMS | Which means | What may be impacted | Possible measure before and after |
|---|---|---|---|---|
| Receive hearing results electronically or access NIPE SMART 4 to extract results or manually rekey results | You will receive NIPE screening results directly into your IT systems | Removes the need to upload results in your system reduces the number of errors |
Time taken Timeliness of data Completeness of data |
Time taken for checking Time taken to upload Missing results |
| Get results for out of area babies | You will only receive results for children you are responsible for | No longer sort ot filter out results for children that are not yours results received for children not on our system no longer forwarded to correct CHIS |
Time taken Timeliness of data |
Time taken |
| Failsafe 72 hour NIPE results and chase missing results | You will receive for your cohort on a daily basis from NIPE SMART |
No longer check against SMART4 database reduce missing results |
Time taken | Time taken for failsafing |
| Forward results on the health visiting services or rekey information on their behalf | You may be able to stop notifying which may free up time and health visiting may receive | No longer forward results for health visiting | Time taken | time taken |
Last edited: 18 January 2022 9:20 am