Acquisitions and Divestitures - Narrative (Details) - USD ($)										1 Months Ended		3 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	Jun. 30, 2017	Dec. 31, 2016	Jul. 31, 2017	Jan. 31, 2017	Jan. 31, 2018	Jan. 31, 2017	Oct. 31, 2012
Business Acquisition [Line Items]
Cash paid														$ 0	$ 1,400,000
Common shares issued for convertible note and accrued interest (in shares)						1,583,210
Royalty liability													$ 2,350,754	2,469,193	2,350,754
Cash payment received from sale business														0	2,000,000
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
Periodic royalty payment term					6 years 6 months
Proprietary lease term					15 years
Ongoing royalty payments					$ 3,000,000
Royalty liability													2,351,000	$ 2,469,000	2,351,000
Unibased
Business Acquisition [Line Items]
Total purchase price				$ 6,500,000
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 | Credit Agreement
Business Acquisition [Line Items]
Repayment of credit facility										$ 500,000	$ 500,000	$ 500,000	$ 500,000