-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
 JOIHDJBX+/nX26vyp1ono6gHkxVIs0pNTBk3TWxYXFSL6zm/y0skftiCh4aYnDcY
 /ALKESnhX+I6jz/ivWElAw==

<SEC-DOCUMENT>0001001185-03-000047.txt : 20031203
<SEC-HEADER>0001001185-03-000047.hdr.sgml : 20031203
<ACCEPTANCE-DATETIME>20031203100333
ACCESSION NUMBER:		0001001185-03-000047
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031201
FILED AS OF DATE:		20031203

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			IDX SYSTEMS CORP
		CENTRAL INDEX KEY:			0001001185
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
		IRS NUMBER:				030222230
		STATE OF INCORPORATION:			VT
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		1400 SHELBURNE RD
		STREET 2:		PO BOX 1070
		CITY:			SOUTH BURLINGTON
		STATE:			VT
		ZIP:			05403
		BUSINESS PHONE:		8028621022

	MAIL ADDRESS:	
		STREET 1:		1400 SHELBURNE RD
		STREET 2:		PO BOX 1070
		CITY:			SOUTH BURLINGTON
		STATE:			VT
		ZIP:			05403

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			HOEHL ROBERT H
		CENTRAL INDEX KEY:			0001049353
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
		STATE OF INCORPORATION:			VT
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-26816
		FILM NUMBER:		031033968

	BUSINESS ADDRESS:	
		STREET 1:		1400 SHELBURNE RD
		STREET 2:		PO BOX 1070
		CITY:			SOUTH BURLINGTON
		STATE:			VT
		ZIP:			05403
		BUSINESS PHONE:		8028621022

	MAIL ADDRESS:	
		STREET 1:		1400 SHELBURNE RD
		STREET 2:		PO BOX 1070
		CITY:			SOUTH BURLINGTON
		STATE:			VT
		ZIP:			05403
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgardoc.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2003-12-01</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0001001185</issuerCik>
        <issuerName>IDX SYSTEMS CORP</issuerName>
        <issuerTradingSymbol>IDXC</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001049353</rptOwnerCik>
            <rptOwnerName>HOEHL ROBERT H</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>1400 SHELBURNE RD</rptOwnerStreet1>
            <rptOwnerStreet2>PO BOX 1070</rptOwnerStreet2>
            <rptOwnerCity>SOUTH BURLINGTON</rptOwnerCity>
            <rptOwnerState>VT</rptOwnerState>
            <rptOwnerZipCode>05403</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>

        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2003-12-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>J</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>76637</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>2699236</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>

        <nonDerivativeHolding>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>222179</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>by Trust</value>
                    <footnoteId id="F2"/>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeHolding>

        <nonDerivativeHolding>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>980617</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>by Trust-RHHGRAT1201</value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeHolding>

    </nonDerivativeTable>

    <derivativeTable>

        <derivativeHolding>
            <securityTitle>
                <value>Director Stock Option-Common Stock (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>12.61</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <value>2001-12-03</value>
            </exerciseDate>
            <expirationDate>
                <value>2011-12-03</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>1587</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>1587</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

        <derivativeHolding>
            <securityTitle>
                <value>Director Stock Option-Common Stock (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>16.03</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <value>2004-05-19</value>
            </exerciseDate>
            <expirationDate>
                <value>2013-09-15</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>6239</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>6239</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

        <derivativeHolding>
            <securityTitle>
                <value>Director Stock Option-Common Stock (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>16.875</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <value>2001-09-15</value>
            </exerciseDate>
            <expirationDate>
                <value>2010-12-19</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>2382</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>2382</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

        <derivativeHolding>
            <securityTitle>
                <value>Director Stock Option-Common Stock (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>17.75</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <value>2003-05-20</value>
            </exerciseDate>
            <expirationDate>
                <value>2012-05-20</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>4508</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>4508</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

        <derivativeHolding>
            <securityTitle>
                <value>Director Stock Option-Common Stock (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>17.8</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <value>2002-05-21</value>
            </exerciseDate>
            <expirationDate>
                <value>2011-05-21</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>3371</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>3371</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

    </derivativeTable>

    <footnotes>
        <footnote id="F1">The reporting person was distributed 76,637 shares as a second annuity distribution from a certain grantor retained annuity trust as beneficiary.  Such trust is referred to as the &quot;Robert F. Hoehl, Trustee of the Robert H. Hoehl 2002 Grantor Retained Annuity Trust U/A 10/11/02.&quot;   </footnote>
        <footnote id="F2">Shares are held in trust for the benefit of the reporting person's children.  The reporting person's wife is trustee.       </footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>By: Diane L. Brown, Attorney-In-Fact  For: Robert H. Hoehl</signatureName>
        <signatureDate>2003-12-03</signatureDate>
    </ownerSignature>

</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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