Fair Value of Intangible Assets (Details) - USD ($) $ in Thousands		9 Months Ended
	Jul. 31, 2019	Sep. 27, 2019
ARGES GmbH
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value	$ 24,713
ARGES GmbH | Developed Technologies
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value	$ 11,355
Intangible Assets Weighted Average Amortization Period	15 years
ARGES GmbH | Customer Relationships
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value	$ 11,800
Intangible Assets Weighted Average Amortization Period	15 years
ARGES GmbH | Trademarks and Trade Names
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value	$ 1,225
Intangible Assets Weighted Average Amortization Period	10 years
ARGES GmbH | Backlog
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value	$ 333
Intangible Assets Weighted Average Amortization Period	5 months
Med X Change, Inc and Ingenia-CAT, S.L.
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value		$ 22,376
Med X Change, Inc and Ingenia-CAT, S.L. | Developed Technologies
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value		$ 11,072
Intangible Assets Weighted Average Amortization Period		10 years
Med X Change, Inc and Ingenia-CAT, S.L. | Customer Relationships
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value		$ 10,465
Intangible Assets Weighted Average Amortization Period		15 years
Med X Change, Inc and Ingenia-CAT, S.L. | Trademarks and Trade Names
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value		$ 639
Intangible Assets Weighted Average Amortization Period		9 years
Med X Change, Inc and Ingenia-CAT, S.L. | Backlog
Acquired Finite Lived Intangible Assets [Line Items]
Intangible Assets Estimated Fair Value		$ 200
Intangible Assets Weighted Average Amortization Period		7 months