EXHIBIT 23.1

              CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

The Board of Directors
PHAMIS, Inc.

    We consent to incorporation by reference and inclusion as an exhibit of our 
report dated January 31, 1997, except for Note 14 which is as of March 25, 1997,
relating to the consolidated balance sheets of PHAMIS, Inc. and subsidiaries as 
of December 31, 1996 and 1995, and the related consolidated statements of 
income, shareholders' equity (deficit), and cash flows for each of the years in 
the three-year period ended December 31, 1996, which report is incorporated by 
reference and included as an exhibit in the Form 8-K of IDX Systems Corporation 
dated July 10, 1997.
 
                                              /s/ KPMG Peat Marwick LLP

Seattle, Washington
July 23, 1997