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Revenue Recognition (Tables)
12 Months Ended
Jul. 31, 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:

   Year ended July 31,
2019
   Year ended July 31,
2018
   Year ended July 31,
2017
 
Revenue category  Revenue   %   Revenue   %   Revenue   % 
Third-party payers  $26,653    52   $41,370    58   $43,059    58 
Medicare   10,898    21    12,111    17    12,705    17 
HMO’s   6,213    12    11,359    16    10,263    14 
Patient self-pay   7,351    15    6,237    9    8,662    11 
Total  $51,115    100%  $71,077    100%  $74,689    100%
Schedule of Product Revenue By Geographical [Table Text Block] Products revenue by geography is as follows:

   2019   2018   2017 
United States  $16,965   $15,524   $16,533 
Europe   5,922    6,326    5,659 
Rest of the world   7,168    7,374    7,000 
Products revenue  $30,055   $29,224   $29,192