Basis of presentation - Intangible assets subject to amortization (Details)	12 Months Ended
	Dec. 31, 2021
Licenses | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	5 years
Licenses | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	30 years
Trade names | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	1 year
Trade names | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	20 years
Service agreements | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	5 years
Service agreements | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	10 years
Intellectual property and know-how | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	5 years
Intellectual property and know-how | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	15 years
Non-compete agreements | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	1 year
Non-compete agreements | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	15 years
Customer List | Minimum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	1 year
Customer List | Maximum
Disclosure of detailed information about intangible assets [line items]
Estimated useful life of intangible assets other than goodwill	5 years