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5 Business combinations (Details 7)
May 30, 2018
Centro De Ciencias Em Saude De Itajuba S.A. ("CCSI") [Member] | Licences [member]  
Disclosure of detailed information about business combination [line items]  
Valuation technique With and without method - The With-and-Without method consists of estimating the fair value of an asset by the difference between the value of this asset in two scenarios: a scenario considering the existence of the asset in question and another considering its non-existence.