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Business combinations (Details 2) - BRL (R$) R$ in Thousands | May 23, 2022 | Apr. 05, 2022 | Mar. 04, 2022 | Dec. 31, 2023 | Dec. 31, 2022
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IfrsStatementLineItems [Line Items] |  |  |  |  |
Indemnification assets recognised as of acquisition date |  |  |  | R$ 81,855 | R$ 145,300
Alem Da Medicina [member] |  |  |  |  |
IfrsStatementLineItems [Line Items] |  |  |  |  |
Cash and cash and equivalents |  |  | R$ 298 |  |
Trade receivables |  |  | 1,705 |  |
Property, plant and equipment recognised as of acquisition date |  |  | 266 |  |
Property, plant and equipment recognised as of acquisition date |  |  | 37 |  |
Identifiable intangible assets recognised as of acquisition date |  |  | 20,299 |  |
Total |  |  | 22,605 |  |
Trade and other payables recognised as of acquisition date |  |  | 705 |  |
Labor And Social Obligations As Of Acquisition Date |  |  | 79 |  |
Taxes Payable As Of Acquisition Date |  |  | 1,182 |  |
Advances From Customers As Of Acquisition Date |  |  | 6,185 |  |
Other Liabilities As Of Acquisition Date |  |  |  |  |
Total |  |  | 8,151 |  |
Indemnification assets recognised as of acquisition date |  |  | 14,454 |  |
Goodwill recognised as of acquisition date |  |  | 12,335 |  |
Consideration transferred, acquisition-date fair value |  |  | 26,789 |  |
Cash transferred |  |  | 14,952 |  |
Contingent consideration recognised as of acquisition date |  |  | 11,074 |  |
Consideration To Be Transferred |  |  | 763 |  |
Acquisition-related costs for transaction recognised separately from acquisition of assets and assumption of liabilities in business combination |  |  | 227 |  |
Cash and cash equivalents in subsidiary or businesses acquired or disposed |  |  | 14,654 |  |
Net of cash flow on acquisition |  |  | R$ 14,881 |  |
Cardio Papers [Member] |  |  |  |  |
IfrsStatementLineItems [Line Items] |  |  |  |  |
Cash and cash and equivalents |  | R$ 3,648 |  |  |
Trade receivables |  | 1,350 |  |  |
Property, plant and equipment recognised as of acquisition date |  | 1 |  |  |
Property, plant and equipment recognised as of acquisition date |  | 43 |  |  |
Identifiable intangible assets recognised as of acquisition date |  | 28,655 |  |  |
Total |  | 33,697 |  |  |
Trade and other payables recognised as of acquisition date |  | 1,703 |  |  |
Labor And Social Obligations As Of Acquisition Date |  | 60 |  |  |
Taxes Payable As Of Acquisition Date |  | 352 |  |  |
Advances From Customers As Of Acquisition Date |  | 3,893 |  |  |
Other Liabilities As Of Acquisition Date |  |  |  |  |
Total |  | 6,008 |  |  |
Indemnification assets recognised as of acquisition date |  | 27,689 |  |  |
Goodwill recognised as of acquisition date |  | 14,324 |  |  |
Consideration transferred, acquisition-date fair value |  | 42,013 |  |  |
Cash transferred |  | 34,924 |  |  |
Contingent consideration recognised as of acquisition date |  | 7,422 |  |  |
Consideration To Be Transferred |  | (333) |  |  |
Acquisition-related costs for transaction recognised separately from acquisition of assets and assumption of liabilities in business combination |  | 274 |  |  |
Cash and cash equivalents in subsidiary or businesses acquired or disposed |  | 31,276 |  |  |
Net of cash flow on acquisition |  | R$ 31,550 |  |  |
Glic [member] |  |  |  |  |
IfrsStatementLineItems [Line Items] |  |  |  |  |
Cash and cash and equivalents | R$ 151 |  |  |  |
Trade receivables | 94 |  |  |  |
Property, plant and equipment recognised as of acquisition date | 36 |  |  |  |
Property, plant and equipment recognised as of acquisition date |  |  |  |  |
Identifiable intangible assets recognised as of acquisition date | 15,395 |  |  |  |
Total | 15,676 |  |  |  |
Trade and other payables recognised as of acquisition date | 1 |  |  |  |
Labor And Social Obligations As Of Acquisition Date |  |  |  |  |
Taxes Payable As Of Acquisition Date | 91 |  |  |  |
Advances From Customers As Of Acquisition Date |  |  |  |  |
Other Liabilities As Of Acquisition Date | 574 |  |  |  |
Total | 666 |  |  |  |
Indemnification assets recognised as of acquisition date | 15,010 |  |  |  |
Goodwill recognised as of acquisition date | 15,587 |  |  |  |
Consideration transferred, acquisition-date fair value | 30,597 |  |  |  |
Cash transferred | 21,602 |  |  |  |
Contingent consideration recognised as of acquisition date | 8,995 |  |  |  |
Consideration To Be Transferred |  |  |  |  |
Acquisition-related costs for transaction recognised separately from acquisition of assets and assumption of liabilities in business combination | 222 |  |  |  |
Cash and cash equivalents in subsidiary or businesses acquired or disposed | 21,451 |  |  |  |
Net of cash flow on acquisition | R$ 21,673 |  |  |  |

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