Fair value measurement (Details) (USD $) | Sep. 30, 2013 | Dec. 31, 2012 |
In Millions, unless otherwise specified |
Assets: | | |
Total available-for-sale investments | $25,605 | $23,745 |
Fair Value, Measurements, Recurring [Member] | | |
Derivative Assets: | | |
Interest rate swap contracts | 13 | |
Total assets | 25,787 | 23,856 |
Derivative Liabilities: | | |
Interest rate swap contracts | 97 | |
Contingent consideration obligations in connection with a business combination | 332 | 221 |
Total liabilities | 507 | 286 |
Fair Value, Measurements, Recurring [Member] | Foreign currency contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 36 | 46 |
Derivative Liabilities: | | |
Foreign currency contracts | 71 | 59 |
Fair Value, Measurements, Recurring [Member] | Cross currency swap contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 133 | 65 |
Derivative Liabilities: | | |
Foreign currency contracts | 7 | 6 |
Fair Value, Measurements, Recurring [Member] | U.S. Treasury securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 6,173 | 4,458 |
Fair Value, Measurements, Recurring [Member] | Other government-related debt securities - U.S. [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,122 | 1,030 |
Fair Value, Measurements, Recurring [Member] | Other government-related debt securities - Foreign and other [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,208 | 1,608 |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Financial [Member] | | |
Assets: | | |
Total available-for-sale investments | 3,460 | 3,361 |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Industrial [Member] | | |
Assets: | | |
Total available-for-sale investments | 3,458 | 4,380 |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Other [Member] | | |
Assets: | | |
Total available-for-sale investments | 337 | 452 |
Fair Value, Measurements, Recurring [Member] | Residential mortgage-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,397 | 1,829 |
Fair Value, Measurements, Recurring [Member] | Other mortgage- and asset-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,452 | 1,767 |
Fair Value, Measurements, Recurring [Member] | Money market mutual funds [Member] | | |
Assets: | | |
Total available-for-sale investments | 6,907 | 2,620 |
Fair Value, Measurements, Recurring [Member] | Other short-term interest-bearing securities [Member] | | |
Assets: | | |
Total available-for-sale investments | | 2,186 |
Fair Value, Measurements, Recurring [Member] | Equity securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 91 | 54 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | | |
Derivative Assets: | | |
Interest rate swap contracts | 0 | |
Total assets | 13,171 | 7,132 |
Derivative Liabilities: | | |
Interest rate swap contracts | 0 | |
Contingent consideration obligations in connection with a business combination | 0 | 0 |
Total liabilities | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Foreign currency contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 0 | 0 |
Derivative Liabilities: | | |
Foreign currency contracts | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Cross currency swap contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 0 | 0 |
Derivative Liabilities: | | |
Foreign currency contracts | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | U.S. Treasury securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 6,173 | 4,458 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Other government-related debt securities - U.S. [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Other government-related debt securities - Foreign and other [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Corporate debt securities - Financial [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Corporate debt securities - Industrial [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Corporate debt securities - Other [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Residential mortgage-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Other mortgage- and asset-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Money market mutual funds [Member] | | |
Assets: | | |
Total available-for-sale investments | 6,907 | 2,620 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Other short-term interest-bearing securities [Member] | | |
Assets: | | |
Total available-for-sale investments | | 0 |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | Equity securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 91 | 54 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | | |
Derivative Assets: | | |
Interest rate swap contracts | 13 | |
Total assets | 12,616 | 16,724 |
Derivative Liabilities: | | |
Interest rate swap contracts | 97 | |
Contingent consideration obligations in connection with a business combination | 0 | 0 |
Total liabilities | 175 | 65 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Foreign currency contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 36 | 46 |
Derivative Liabilities: | | |
Foreign currency contracts | 71 | 59 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Cross currency swap contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 133 | 65 |
Derivative Liabilities: | | |
Foreign currency contracts | 7 | 6 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | U.S. Treasury securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Other government-related debt securities - U.S. [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,122 | 1,030 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Other government-related debt securities - Foreign and other [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,208 | 1,608 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Corporate debt securities - Financial [Member] | | |
Assets: | | |
Total available-for-sale investments | 3,460 | 3,361 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Corporate debt securities - Industrial [Member] | | |
Assets: | | |
Total available-for-sale investments | 3,458 | 4,380 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Corporate debt securities - Other [Member] | | |
Assets: | | |
Total available-for-sale investments | 337 | 452 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Residential mortgage-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,397 | 1,829 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Other mortgage- and asset-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 1,452 | 1,767 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Money market mutual funds [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Other short-term interest-bearing securities [Member] | | |
Assets: | | |
Total available-for-sale investments | | 2,186 |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Equity securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | | |
Derivative Assets: | | |
Interest rate swap contracts | 0 | |
Total assets | 0 | 0 |
Derivative Liabilities: | | |
Interest rate swap contracts | 0 | |
Contingent consideration obligations in connection with a business combination | 332 | 221 |
Total liabilities | 332 | 221 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Foreign currency contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 0 | 0 |
Derivative Liabilities: | | |
Foreign currency contracts | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Cross currency swap contracts [Member] | | |
Derivative Assets: | | |
Foreign currency contracts | 0 | 0 |
Derivative Liabilities: | | |
Foreign currency contracts | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | U.S. Treasury securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Other government-related debt securities - U.S. [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Other government-related debt securities - Foreign and other [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Corporate debt securities - Financial [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Corporate debt securities - Industrial [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Corporate debt securities - Other [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Residential mortgage-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Other mortgage- and asset-backed securities [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Money market mutual funds [Member] | | |
Assets: | | |
Total available-for-sale investments | 0 | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Other short-term interest-bearing securities [Member] | | |
Assets: | | |
Total available-for-sale investments | | 0 |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Equity securities [Member] | | |
Assets: | | |
Total available-for-sale investments | $0 | $0 |