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Acquisitions and Divestitures - Narrative (Details) - USD ($)
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Dec. 01, 2016
Sep. 08, 2016
Nov. 21, 2014
Feb. 03, 2014
Oct. 25, 2013
Nov. 01, 2012
Aug. 16, 2012
Jun. 15, 2012
Dec. 07, 2011
Aug. 31, 2015
May 31, 2015
Apr. 30, 2015
Jan. 31, 2017
May 31, 2017
Jan. 31, 2017
Jan. 31, 2016
Oct. 31, 2012
Business Acquisition [Line Items]                                  
Cash paid                             $ 1,400,000 $ 0  
Common shares issued for convertible note and accrued interest (in shares)           1,583,210                      
Royalty liability                         $ 2,350,754   2,350,754 2,291,888  
Cash payment received from sale business                             2,000,000 0  
Interpoint                                  
Business Acquisition [Line Items]                                  
Total purchase price                 $ 5,124,000                
Cash paid                 2,124,000                
Common shares issued for convertible note and accrued interest (in shares)               1,529,729                  
Share price (in dollars per share)               $ 2.00                  
Meta                                  
Business Acquisition [Line Items]                                  
Total purchase price             $ 14,790,000                    
Cash paid             $ 13,288,000                    
Share price (in dollars per share)             $ 4.07                    
Issuance of common stock (in shares)             393,086                    
Percentage of outstanding shares acquired                                 100.00%
Montefiore Medical Center                                  
Business Acquisition [Line Items]                                  
Cash paid         $ 3,000,000                        
Proprietary lease term         15 years                        
Periodic royalty payment term         6 years 6 months                        
Ongoing royalty payments         $ 3,000,000                        
Royalty liability                         2,351,000   $ 2,351,000 $ 2,292,000  
Unibased                                  
Business Acquisition [Line Items]                                  
Total purchase price       $ 6,500,000                          
Proceeds received from escrow                       $ 750,000          
Opportune IT                                  
Business Acquisition [Line Items]                                  
Total purchase price   $ 1,400,000                              
Cash paid   $ 1,400,000                              
Looking Glass Patient Engagement | Disposal Group, Not Discontinued Operations                                  
Business Acquisition [Line Items]                                  
Cash payment received from sale business $ 2,000,000                                
Pre-tax gain on sale of business $ 238,000                                
Credit Agreement                                  
Business Acquisition [Line Items]                                  
Repayment of credit facility     $ 7,400,000                            
Convertible Subordinated Note | Interpoint                                  
Business Acquisition [Line Items]                                  
Convertible subordinated note issuance                 $ 3,000,000                
Senior Notes                                  
Business Acquisition [Line Items]                                  
Repayment of credit facility                   $ 250,000 $ 750,000            
Senior Notes | Credit Agreement                                  
Business Acquisition [Line Items]                                  
Repayment of credit facility                         $ 500,000        
Senior Notes | Credit Agreement | Scenario, Forecast                                  
Business Acquisition [Line Items]                                  
Repayment of credit facility                           $ 500,000