Segment information (Details 1) - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Assets
Current assets	$ 794,521	$ 542,896
Non-current assets	11,213,407	6,020,398
Current liabilities	(7,713,189)	(13,289,131)
Non-current liabilities	(9,801,769)	$ (2,106,706)
Rental Operations [Member]
Segment Reporting Information [Line Items]
Purchase of fixed assets	(43,611)
Assets
Current assets			$ 7,972
Non-current assets			2,469,499
Current liabilities			(4,974,475)
Non-current liabilities			(603,557)
Net liability position			(4,364,046)
Purchase of fixed assets
Mandatory redeemable preferred shares
Intercompany balances			(1,263,485)
In Patient Services [Member]
Segment Reporting Information [Line Items]
Purchase of fixed assets	5,287,622
Assets
Current assets	794,521		952,223
Non-current assets	11,213,407		3,299,226
Current liabilities	(7,713,189)		(9,047,232)
Non-current liabilities	(9,801,769)		(1,523,795)
Net liability position	(5,507,030)		(8,131,754)
Purchase of fixed assets			285,103
Mandatory redeemable preferred shares			(400,000)
Intercompany balances			1,263,485
Rental In Patient Services [Member]
Segment Reporting Information [Line Items]
Purchase of fixed assets	5,244,011
Assets
Current assets	794,521		960,195
Non-current assets	11,213,407		5,768,725
Current liabilities	(7,713,189)		(14,021,707)
Non-current liabilities	(9,801,769)		(2,127,352)
Net liability position	$ (5,507,030)		(9,820,139)
Purchase of fixed assets			285,103
Mandatory redeemable preferred shares			(400,000)
Intercompany balances