Note 5 - Intangible Assets, Net - Intangible Assets (Details) - USD ($)	6 Months Ended
	Jun. 30, 2018	Dec. 31, 2017
Cost	$ 2,691,935	$ 1,644,308
Accumulated Amortization	1,780,843	1,546,383
Net Book Value	911,092	97,925
eClinical Customer List [Member]
Cost	1,392,701	1,392,701
Accumulated Amortization	1,392,701	1,392,701
Net Book Value	$ 0	0
Finite-Lived Intangible Asset, Useful Life	3 years
Promasys B.V. Customer List [Member]
Cost	$ 115,607	118,780
Accumulated Amortization	115,607	32,994
Net Book Value	$ 0	85,786
Finite-Lived Intangible Asset, Useful Life	15 years
Promasys B.V. Software Code [Member]
Cost	$ 72,837	72,837
Accumulated Amortization	67,981	60,698
Net Book Value	$ 4,856	12,139
Finite-Lived Intangible Asset, Useful Life	5 years
Promasys B.V. URLs/Website [Member]
Cost	$ 58,387	59,990
Accumulated Amortization	58,387	59,990
Net Book Value	$ 0	0
Finite-Lived Intangible Asset, Useful Life	3 years
Acuity Software Code [Member]
Cost	$ 1,052,403	0
Accumulated Amortization	146,167	0
Net Book Value	$ 906,236	$ 0
Finite-Lived Intangible Asset, Useful Life	3 years