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Financial instruments - additional disclosures (Details 6) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Associated companies at fair value through profit and loss [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period $ 192 $ 211
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement   2
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement (63) (26)
Fair value adjustments recognized in the consolidated statement of comprehensive income   (2)
Purchases fair value measurement assets 4 34
Disposals fair value measurement assets   (27)
Reclassification fair value measurement assets (4)  
Fair value measurement, carrying value, level 3, at end of period 129 192
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end (63) (24)
Fund investments [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period 338 366
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement 4 70
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement (78) (8)
Fair value adjustments recognized in the consolidated statement of comprehensive income   (1)
Purchases fair value measurement assets 11 12
Disposals fair value measurement assets (12) (71)
Reclassification fair value measurement assets (2) (30)
Fair value measurement, carrying value, level 3, at end of period 261 338
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end (74) 62
Long term financial investments [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period 617 460
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement 35 69
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement (84) (13)
Fair value adjustments recognized in the consolidated statement of comprehensive income 24 51
Purchases fair value measurement assets 160 137
Disposals fair value measurement assets (13) (43)
Reclassification fair value measurement assets (40) (44)
Fair value measurement, carrying value, level 3, at end of period 699 617
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end (49) 56
Contingent consideration receivables [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period 641 625
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement 53 124
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement   (44)
Fair value adjustments recognized in the consolidated statement of comprehensive income   (22)
Cash receipts and payments fair value measurement assets (44) (42)
Fair value measurement, carrying value, level 3, at end of period 650 641
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end 53 80
Contingent consideration payables [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period (1,075) (1,046)
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement 530 182
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement (114) (189)
Fair value adjustments recognized in the consolidated statement of comprehensive income 11 22
Purchases fair value measurement assets (231) (88)
Cash receipts and payments fair value measurement assets 44 44
Fair value measurement, carrying value, level 3, at end of period (835) (1,075)
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end 416 (7)
Other financial liabilities [member]    
Disclosure of derivative financial instruments [line items]    
Fair value measurement, carrying value, level 3, at beginning of period (19)  
Fair value gains and other adjustments including from divestments recognized in the consolidated income statement 15  
Fair value losses (including impairments and amortizations) and other adjustments recognized in the consolidated income statement (18)  
Purchases fair value measurement assets (238)  
Cash receipts and payments fair value measurement assets 28  
Fair value measurement, carrying value, level 3, at end of period (232) $ (19)
Total fair value gains and (losses) recognized in the consolidated income statement for assets and liabilities held at period end $ (3)