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Description of Business and Summary of Significant Accounting Policies (Details Textual) - USD ($) $ in Thousands	9 Months Ended
	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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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.

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Decrease in noncontrolling interest balance from payment of dividends or other distributions by the non-wholly owned subsidiary or partially owned entity, included in the consolidation of the parent entity, to the noncontrolling interest holders.

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