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IDX(R) Imagecast(TM) PACS for Orthopedics Launched at RSNA

   Provides Clinicians with a Fully-Featured Orthopedic Image Analysis and
                                Planning Tool

    BURLINGTON, Vt., Nov. 28 /PRNewswire-FirstCall/ -- IDX Systems Corporation
(Nasdaq: IDXC), a leading provider of healthcare information systems, today
announced the launch of IDX(R) Imagecast(TM) PACS for Orthopedics.  A digital
solution for the orthopedic surgeon, Imagecast PACS for Orthopedics offers
comprehensive tools for orthopedic image review, analysis and preoperative
planning.
    Imagecast PACS for Orthopedics helps ensure surgeons enter the operating
room equipped with the tools, instruments and implants they need.  The
solution allows them to plan surgery in advance, with greater accuracy, by
measuring patient images using precise digital tools and overlaying electronic
templates from a variety of implant vendors.  With the Imagecast Pixels-on-
Demand technology, orthopedic image review and surgical pre-planning is
rapidly available on any PC and web browser connected to the Internet or
network.  This streamlines workflow and allows clinicians to increase
efficiency by planning surgeries from any location -- in the office, operating
room, or even from home.
    "As a growing number of orthopedic practices and hospitals make the
transition from film to all-digital environments, the demand for a filmless
solution for orthopedic surgeons is increasing," said Debra Stenner, Vice
President Business Planning and Product Strategy, IDX Imagecast Operating
Unit.  "With the introduction of Imagecast PACS for Orthopedics, orthopedic
surgeons can take advantage of the same flexibility and specialized tools that
radiologists have with today's PACS systems."
    In a traditional film-based environment, orthopedic surgeons perform
surgical planning on x-rays by drawing lines and measuring angles.  Using
paper templates from prosthetics manufacturers, they plan joint replacements,
spinal surgeries and trauma repairs.  Templates are imprecise due to
variations in magnification of individual x-rays and distortion of the image
caused by the angle of projection, which can prevent the orthopedic surgeon
from selecting the correct prosthetic with reliable accuracy.
    These obstacles to accurate, efficient preoperative planning are virtually
eliminated with the cost-effective, easy-to-use digital templates and workflow
tools that make up Imagecast PACS for Orthopedics.  The solution includes a
library of templates and fixation elements for total hip, total knee,
shoulder, and elbow replacements, as well as tools for measuring Cobb angle
(used to evaluate patients with scoliosis) and transischial line measurement
(which allows surgeons to assess leg length for total hip replacements).
    Additional improvements over film-based image review include the ability
to window and invert, optimizing diagnostic detail; magnify and pan a region
of interest or enlarge the image; and measure distances and anatomical angles
using the built-in caliper and goniometer.  By allowing the orthopedic surgeon
to make precise measurements in the pre-planning stages, these tools can help
shorten procedure time and improve patient outcomes.
    Imagecast PACS for Orthopedics is designed with an open standards
platform, providing scalability for orthopedic practices both small and large.
The solution, which has received 510(K) FDA clearance, also provides
connectivity to any modality or archive.  Imagecast PACS for Orthopedics
integrates seamlessly with the Imagecast worklist, allowing hospital customers
to leverage their existing investment in IDX technology.

    See Imagecast PACS for Orthopedics in action at RSNA
    Imagecast PACS for Orthopedics will premiere at the Radiological Society
of North America (RSNA) 2005 Annual Scientific Assembly and Annual Meeting in
Chicago, Ill., November 27 - December 2, at IDX booth 1929.

    About IDX(R) Imagecast(TM)
    Imagecast solutions provide healthcare institutions, such as hospitals,
academic medical centers, integrated delivery networks and imaging centers,
with comprehensive distributed access to significant clinical findings and
associated images.  Our solutions optimize productivity, enhance business
practices and facilitate clinical decision making.  Today's leading medical
specialists, business managers and executives can depend on IDX because only
Imagecast products combine advanced technology with unmatched expertise to
deliver visionary workflow integration.

    About IDX
    Founded in 1969, IDX Systems Corporation provides information technology
solutions to maximize value in the delivery of healthcare, improve the quality
of patient service, enhance medical outcomes, and reduce the costs of care.
Our systems are deployed to serve approximately 150,000 physicians and are
installed at over 3,400 customer sites, including more than 850 group
practices and approximately 370 integrated delivery networks servicing more
than 500 hospitals.
    IDX also provides its enterprise clinical software as a subcontractor to
BT, Local Service Provider for the United Kingdom National Health Service's
National Programme for Information Technology, an initiative to establish
electronic patient records for 50 million patients.
    The IDX web strategy includes browser technology, e-commerce and web-based
tools -- built using Internet architecture -- that facilitates access for
patients, physicians and care providers to vital health information and data
managed by the IDX clinical, administrative, financial, and managed care
products.  IDX has approximately 2,400 full-time employees.
    IDX and Imagecast are registered trademarks or trademarks of IDX
Investment Corporation.

    This press release contains forward-looking statements about IDX Systems
Corporation that involve a number of risks and uncertainties.  Among the
important factors that could cause actual results to differ materially from
those indicated by such forward-looking statements are uncertainties or
difficulties in developing and/or integrating new services and systems,
including Imagecast, difficulties in implementing systems, difficulties in
servicing customers, possible deferral, delay or cancellation by customers of
computer system or service purchase decisions, possible delay of system
installations and service implementations, development by competitors of new
or superior technologies, changing economic, political and regulatory
influences on the healthcare industry, possible disruptions in the national
economy caused by terrorist activities and foreign conflicts, changes in
product pricing policies, governmental regulation of IDX's software and
operations, the possibility of product-related liabilities, and factors
detailed from time to time in IDX's periodic reports and registration
statements filed with the Securities and Exchange Commission, which important
factors are incorporated herein by reference.  IDX undertakes no obligation to
update forward-looking statements to reflect changed assumptions, the
occurrence of unanticipated events, or changes in future operating results,
financial condition or business over time.

    For more information, contact:
     Michael Mast
     Media Relations - IDX Imagecast
     802.859.6305
     michael_mast@idx.com


SOURCE IDX Systems Corporation




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    CONTACT:
    Michael Mast, Media Relations - IDX
    Imagecast, +1-802-859-6305, michael_mast@idx.com