Note 5 - Intangible Assets, Net - Intangible Assets (Details) - USD ($)	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Cost	$ 1,644,308	$ 1,622,309
Accumulated Amortization	1,546,383	1,513,429
Net Book Value	97,925	108,880
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	$ 118,780	104,163
Accumulated Amortization	32,994	21,990
Net Book Value	$ 85,786	82,173
Finite-Lived Intangible Asset, Useful Life	15 years
Promasys B.V. Software Code [Member]
Cost	$ 72,837	72,837
Accumulated Amortization	60,698	46,130
Net Book Value	$ 12,139	26,707
Finite-Lived Intangible Asset, Useful Life	5 years
Promasys B.V. URLs/Website [Member]
Cost	$ 59,990	52,608
Accumulated Amortization	59,990	52,608
Net Book Value	$ 0	$ 0
Finite-Lived Intangible Asset, Useful Life	3 years