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Fair value measurements (Details Textual) - USD ($)
9 Months Ended
Sep. 30, 2018
Dec. 31, 2017
Dec. 31, 2016
Business Acquisition [Line Items]      
Length of time hedged in foreign currency contracts (or less) 3 years    
Contingent consideration obligations   $ 0 $ 116,000,000
Long-term debt, fair value $ 36,000,000,000 38,600,000,000  
Carrying value of debt $ 34,427,000,000 $ 35,342,000,000  
Other Government-related and Corporate Debt Securities [Member]      
Business Acquisition [Line Items]      
Investment maturity period 5 years