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Description of Business and Summary of Significant Accounting Policies (Details Textual) - USD ($) $ in Thousands | 9 Months Ended
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Sep. 30, 2018 | Sep. 30, 2017
Description of Business and Summary of Significant Accounting Policies [Line Items] |  |
Goodwill, Impairment Loss | $ 675 | $ 0
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders | $ 492 |
Doc Genix [Member] |  |
Description of Business and Summary of Significant Accounting Policies [Line Items] |  |
Noncontrolling Interest, Ownership Percentage By Parent | 94.00% |
Synodex [Member] |  |
Description of Business and Summary of Significant Accounting Policies [Line Items] |  |
Noncontrolling Interest Increase in Ownership Percentage by Parent | 1.50% |

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- Definition Amount of loss from the write-down of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13854-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13777-109266 + Details
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