IDX SYSTEMS CORP
4, 1998-07-09
COMPUTER INTEGRATED SYSTEMS DESIGN
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16.
    Form 4 or Form 5 obligations may continue.
1. Name and Address of Reporting Person(s)
   Crook, James H. Jr.
   P.O. Box 1070
   1400 Shelburne Road
   
   Burlington, VT 05402-1070  
2. Issuer Name and Ticker or Trading Symbol
   IDX Systems Corporation (IDXC)
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)

4. Statement for Month/Year
   06/98
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
   [ ] Director                   [ ] 10% Owner 
   [X] Officer (give title below) [ ] Other (specify below)
   Vice President 
7. Individual or Joint/Group Filing (Check Applicable Line)
   [X] Form filed by One Reporting Person
   [ ] Form filed by More than One Reporting Person

<TABLE>
<CAPTION>
Table I   Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Security                           2)Trans-    3.Trans- 4.Securities Acquired(A)      5)Amount of    6)  7)Nature of     
                                              action      action   or Disposed of (D)            Securities         Indirect        
                                              Date        Code                   A               Beneficially   D   Beneficial      
                                              (Month/                            or              Owned at       or  Ownership       
                                              Day/Year)   Code V   Amount        D  Price        End of Month   I                   
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>         <C>      <C>           <C><C>          <C>            <C><C>              
Common Stock                                  06/17/98    G    V   275.00        D                              D  Direct           
Common Stock                                  06/30/98    N (1)V   489.00        A  $30.6000     147,962.00     D  Direct           
Common Stock                                                                                     57,986.00      I  by Trust         

<CAPTION>
Table II (PART 1)  Derivative Securities Acquired, Disposed of, or Beneficially Owned  (Columns 1 through 6)                        
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative          2)Conversion    3)Trans-       4)Trans-  5)Number of Derivative            6)Date Exercisable and    
Security                       or Exercise     action         action    Securities Acquired (A)           Expiration Date           
                               Price of        Date           Code      or Disposed of (D)                                          
                               Derivative                                                                                           
                               Security                       Code  V   A                D                Exercisable  Expiration   
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                            <C>             <C>            <C>       <C>              <C>              <C>          <C>          
Non-Qualified Stock Option     $30.2500                                                                   05/01/97     05/01/07     
(right to buy)                                                                                                                      
Non-Qualified Stock Option     $31.2188                                                                   11/24/98     11/24/07     
(right to buy)                                                                                                                      

<CAPTION>
Table II (PART 2)  Derivative Securities Acquired, Disposed of, or Beneficially Owned  (Columns 1,3 and 7 through 11)               
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative          3)Trans-  7)Title and Amount                           8)Price     9)Number of   10) 11)Nature of    
Security                       action    of Underlying                                of Deri-    Derivative        Indirect        
                               Date      Securities                                   vative      Securities    D   Beneficial      
                                                                        Amount or     Security    Beneficially  or  Ownership       
                                                                        Number of                 Owned at      I                   
                  -                      Title                          Shares                    End of Month                      
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                            <C>       <C>                            <C>           <C>         <C>           <C> <C>             
Non-Qualified Stock Option               Common Stock                   9,337.00                  9,337.00      D   Direct          
(right to buy)                                                                                                                      
Non-Qualified Stock Option               Common Stock                   14,100.00                 14,100.00     D   Direct          
(right to buy)                                                                                                                      

<FN>
Explanation of Responses:

(1)
Purchase under Section 423 Plan.                                                                                                    

</FN>
</TABLE>
SIGNATURE OF REPORTING PERSON
/S/ By: Robert W. Baker, Jr., Attorney-In-Fact
    For: James H. Crook, Jr.
DATE 


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