Note 5 - Intangible Assets, Net (Details) - Intangible Assets - USD ($)	3 Months Ended
	Mar. 31, 2016	Dec. 31, 2015
Finite-Lived Intangible Assets [Line Items]
Cost	$ 1,634,873	$ 1,628,161
Accumulated Amortization	1,491,807	1,479,284
Net Book value	143,066	148,877
eClinical Customer List [Member]
Finite-Lived Intangible Assets [Line Items]
Cost	1,392,701	1,392,701
Accumulated Amortization	1,392,701	1,392,701
Net Book value	$ 0	0
Estimated Useful Lives	3 years
Promasys B.V. Customer List [Member]
Finite-Lived Intangible Assets [Line Items]
Cost	$ 112,511	108,051
Accumulated Amortization	18,127	15,607
Net Book value	$ 94,384	92,444
Estimated Useful Lives	15 years
Promasys B.V. Software Code [Member]
Finite-Lived Intangible Assets [Line Items]
Cost	$ 72,837	72,837
Accumulated Amortization	35,204	31,563
Net Book value	$ 37,633	41,274
Estimated Useful Lives	5 years
Promasys B.V. URLs/Website [Member]
Finite-Lived Intangible Assets [Line Items]
Cost	$ 56,824	54,572
Accumulated Amortization	45,775	39,413
Net Book value	$ 11,049	$ 15,159
Estimated Useful Lives	3 years