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Goodwill and Intangible Assets - Summary of Intangible Assets (Detail) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
May 07, 2019
May 04, 2018
Jun. 30, 2019
Dec. 31, 2018
Intangible assets with finite lives:        
Gross Carrying Amount     $ 52,934 $ 38,255
Accumulated Amortization     (8,695) (7,143)
Foreign Currency Translation     (3,457) (2,682)
Net Carrying Amount     40,782 28,430
Intangible Assets, Net (Excluding Goodwill)        
Total intangible assets, Gross Carrying Amount     57,756 43,077
Total intangible assets, Accumulated Amortization     (8,695) (7,143)
Total intangible assets, Foreign Currency Translation     (3,457) (2,682)
Total intangible assets, net     45,604 33,252
Customer Relationships [Member]        
Intangible assets with finite lives:        
Estimated useful life of identified intangible asset 15 years      
Customer Relationships [Member] | OTTR [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     4,200  
Accumulated Amortization     (47)  
Foreign Currency Translation     0  
Net Carrying Amount     $ 4,153  
Estimated useful life of identified intangible asset     14 years 9 months 18 days  
Customer Relationships [Member] | Allenex [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 12,650 12,650
Accumulated Amortization     (2,573) (2,198)
Foreign Currency Translation     (1,489) (1,129)
Net Carrying Amount     $ 8,588 $ 9,323
Estimated useful life of identified intangible asset     11 years 6 months 12 years
Customer Relationships [Member] | Conexio [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 28 $ 28
Accumulated Amortization     (11) (6)
Foreign Currency Translation     (2) (2)
Net Carrying Amount     $ 15 $ 20
Estimated useful life of identified intangible asset     1 year 6 months 2 years
Customer Relationships [Member] | TruSight [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 380 $ 380
Accumulated Amortization     (160) (86)
Foreign Currency Translation     0 0
Net Carrying Amount     $ 220 $ 294
Estimated useful life of identified intangible asset   2 years 7 months 6 days 1 year 9 months 18 days 2 years
Developed Technology [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 11,650 $ 11,650
Accumulated Amortization     (3,588) (3,065)
Foreign Currency Translation     (1,246) (998)
Net Carrying Amount     $ 6,816 $ 7,587
Estimated useful life of identified intangible asset 10 years   6 years 6 months 7 years
Developed Technology [Member] | OTTR [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 2,300  
Accumulated Amortization     (38)  
Net Carrying Amount     $ 2,262  
Estimated useful life of identified intangible asset     9 years 9 months 18 days  
Acquired Technology - QTYPE [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 4,510 $ 4,510
Accumulated Amortization     (809) (671)
Foreign Currency Translation     (519) (407)
Net Carrying Amount     $ 3,182 $ 3,432
Estimated useful life of identified intangible asset     11 years 6 months 12 years
Acquired Technology SBT [Member] | Olerup [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 127 $ 127
Accumulated Amortization     (51) (28)
Foreign Currency Translation     (6) (6)
Net Carrying Amount     $ 70 $ 93
Estimated useful life of identified intangible asset     1 year 6 months 2 years
Acquired Technology dd-cfDNA [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 6,650 $ 6,650
Accumulated Amortization     (889) (635)
Foreign Currency Translation     0 0
Net Carrying Amount     $ 5,761 $ 6,015
Estimated useful life of identified intangible asset     11 years 7 months 6 days 11 years 9 months 18 days
Trademarks [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 2,360 $ 2,260
Accumulated Amortization     (529) (454)
Foreign Currency Translation     (195) (140)
Net Carrying Amount     $ 1,636 $ 1,666
Estimated useful life of identified intangible asset 2 years   6 years 8 months 12 days 12 years
Commercialization Rights of Cibiltech [Member]        
Intangible assets with finite lives:        
Gross Carrying Amount     $ 8,079  
Accumulated Amortization     0  
Foreign Currency Translation     0  
Net Carrying Amount     $ 8,079  
Estimated useful life of identified intangible asset     9 years 10 months 24 days  
Acquired in-process technology AlloSeq [Member] | Tx [Member]        
Intangible assets with indefinite lives:        
Foreign Currency Translation     $ 0 $ 0
Net Carrying Amount     2,719 2,719
Acquired in-process technology AlloSeq [Member] | HCT [Member]        
Intangible assets with indefinite lives:        
Foreign Currency Translation     0 0
Net Carrying Amount     $ 2,103 $ 2,103