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Goodwill and intangible assets - Goodwill and intangible assets (Details) - USD ($)
$ in Millions
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Disclosure of detailed information about intangible assets [line items]      
Goodwill and intangible assets $ 23,453 $ 21,346  
Goodwill      
Disclosure of detailed information about intangible assets [line items]      
Goodwill and intangible assets 13,588 12,330  
Present value of in-force long-term insurance business      
Disclosure of detailed information about intangible assets [line items]      
Goodwill and intangible assets 6,610 6,502 $ 5,685
Other intangible assets      
Disclosure of detailed information about intangible assets [line items]      
Goodwill and intangible assets 3,255 2,514  
Internally generated software      
Disclosure of detailed information about intangible assets [line items]      
Intangible assets $ 2,641 $ 1,982