Fair value measurement (Details) (USD $) | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011 |
In Millions, unless otherwise specified |
Assets: | ' | ' | ' |
Total available-for-sale investments | $22,363 | $23,745 | ' |
Fair Value, Measurements, Recurring [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Total assets | 22,609 | 23,856 | ' |
Derivative Liabilities: | ' | ' | ' |
Contingent consideration obligations in connection with a business combination | 595 | 221 | ' |
Total liabilities | 867 | 286 | ' |
Fair Value, Measurements, Recurring [Member] | Foreign currency contracts [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Foreign currency contracts | 53 | 46 | ' |
Derivative Liabilities: | ' | ' | ' |
Foreign currency contracts | 107 | 59 | ' |
Fair Value, Measurements, Recurring [Member] | Cross currency swap contracts [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Foreign currency contracts | 193 | 65 | ' |
Derivative Liabilities: | ' | ' | ' |
Foreign currency contracts | 4 | 6 | ' |
Fair Value, Measurements, Recurring [Member] | Interest rate swap contracts [Member] | ' | ' | ' |
Derivative Liabilities: | ' | ' | ' |
Interest rate swap contracts | 161 | ' | ' |
Fair Value, Measurements, Recurring [Member] | U.S. Treasury securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 4,730 | 4,458 | ' |
Fair Value, Measurements, Recurring [Member] | Other government-related debt securities - U.S. [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 1,079 | 1,030 | ' |
Fair Value, Measurements, Recurring [Member] | Other government-related debt securities - Foreign and other [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 1,546 | 1,608 | ' |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Financial [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 3,676 | 3,361 | ' |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Industrial [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 3,760 | 4,380 | ' |
Fair Value, Measurements, Recurring [Member] | Corporate debt securities - Other [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 390 | 452 | ' |
Fair Value, Measurements, Recurring [Member] | Residential mortgage-backed securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 1,460 | 1,829 | ' |
Fair Value, Measurements, Recurring [Member] | Other mortgage- and asset-backed securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 1,511 | 1,767 | ' |
Fair Value, Measurements, Recurring [Member] | Money market mutual funds [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 3,366 | 2,620 | ' |
Fair Value, Measurements, Recurring [Member] | Other short-term interest-bearing securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 750 | 2,186 | ' |
Fair Value, Measurements, Recurring [Member] | Equity securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 95 | 54 | ' |
Fair Value, Measurements, Recurring [Member] | Quoted prices in active markets for identical assets (Level 1) [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Total assets | 8,191 | 7,132 | ' |
Derivative Liabilities: | ' | ' | ' |
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] | Interest rate swap contracts [Member] | ' | ' | ' |
Derivative Liabilities: | ' | ' | ' |
Interest rate swap contracts | 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 | 4,730 | 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 | 3,366 | 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 | 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 | 95 | 54 | ' |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Total assets | 14,418 | 16,724 | ' |
Derivative Liabilities: | ' | ' | ' |
Contingent consideration obligations in connection with a business combination | 0 | 0 | ' |
Total liabilities | 272 | 65 | ' |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Foreign currency contracts [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Foreign currency contracts | 53 | 46 | ' |
Derivative Liabilities: | ' | ' | ' |
Foreign currency contracts | 107 | 59 | ' |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Cross currency swap contracts [Member] | ' | ' | ' |
Derivative Assets: | ' | ' | ' |
Foreign currency contracts | 193 | 65 | ' |
Derivative Liabilities: | ' | ' | ' |
Foreign currency contracts | 4 | 6 | ' |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Interest rate swap contracts [Member] | ' | ' | ' |
Derivative Liabilities: | ' | ' | ' |
Interest rate swap contracts | 161 | ' | ' |
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 | 1,079 | 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 | 1,546 | 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 | 3,676 | 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 | 3,760 | 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 | 390 | 452 | ' |
Fair Value, Measurements, Recurring [Member] | Significant other observable inputs (Level 2) [Member] | Residential mortgage-backed securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | 1,460 | 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 | 1,511 | 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 | 750 | 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: | ' | ' | ' |
Total assets | ' | 0 | ' |
Derivative Liabilities: | ' | ' | ' |
Contingent consideration obligations in connection with a business combination | 595 | 221 | 190 |
Total liabilities | 595 | 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] | Interest rate swap contracts [Member] | ' | ' | ' |
Derivative Liabilities: | ' | ' | ' |
Interest rate swap contracts | 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 | 0 | ' |
Fair Value, Measurements, Recurring [Member] | Significant unobservable inputs (Level 3) [Member] | Equity securities [Member] | ' | ' | ' |
Assets: | ' | ' | ' |
Total available-for-sale investments | $0 | $0 | ' |