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Fair value measurement (Details Textual) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2015
Dec. 31, 2016
Fair Value Measurement (Textual) [Abstract]      
Unfunded commitments, measured at NAV $ 100    
Length of time hedged in foreign currency contracts 3 years    
Aggregate fair value of long-term debt, including current portion $ 38,600   $ 36,500
Carrying value of long-term debt, including current portion 35,342   34,596
Dezima [Member]      
Fair Value Measurement (Textual) [Abstract]      
Maximum additional consideration due contingent on certain milestones   $ 1,250  
Net changes in valuation (116)    
Contingent consideration obligations in connection with business combinations 0 110  
Biovex [Member]      
Fair Value Measurement (Textual) [Abstract]      
Payment of contingent consideration obligation   $ 125  
Additional contingent consideration upon achievement of milestones $ 325    
Other government-related and corporate debt securities [Member]      
Fair Value Measurement (Textual) [Abstract]      
Investment maturity period 5 years    
Limited Partnership [Member]      
Fair Value Measurement (Textual) [Abstract]      
Investments, measured at NAV $ 213   $ 158