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Revenue Recognition (Tables)
9 Months Ended
Apr. 30, 2019
Revenue from Contract with Customer [Abstract]  
Schedule Of Segment Revenue And Revenue Percentage [Table Text Block] The following table represents clinical services net revenues and percentages by type of customer:

   Three months
ended
April 30, 2019
   Three months
ended
April 30, 2018
 
Revenue category                    
Third-party payer  $5,799    50%  $9,965    56%
Medicare   2,634    22    2,858    16 
Patient self-pay   1,881    16    2,047    12 
HMO’s   1,437    12    2,867    16 
Total  $11,751    100%  $17,737    100%
   Nine months ended
April 30, 2019
  Nine months ended
April 30, 2018
 
Revenue category                    
Third-party payer  $20,213    53%  $32,726    59%
Medicare   7,724    20    9,073    16 
Patient self-pay   5,652    15    5,689    10 
HMO’s   4,459    12    8,513    15 
Total  $38,048    100%  $56,001    100%
Schedule of Segment Revenue By Geographical [Table Text Block] Products revenue by geography is as follows:

   Three Months Ended
April 30
  Nine Months Ended
April 30
 
   2019   2018   2019   2018 
United States  $4,585   $3,987   $12,570   $11,500 
Europe   1,620    1,529    4,370    4,422 
Rest of the world   1,706    1,899    5,261    5,578 
Total  $7,911   $7,415   $22,201   $21,500