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Financial Instruments and Fair Value Measures - Financial Instruments (Details)
$ in Millions
12 Months Ended
Dec. 31, 2018
USD ($)
company
Dec. 31, 2018
EUR (€)
company
Dec. 31, 2017
USD ($)
Derivative instruments, notional amount and fair value      
Number of outstanding derivative instruments containing credit risk contingent features | company 0 0  
Foreign currency contracts in asset position $ 132   $ 23
Foreign currency contracts in liability position 492   550
Designated as hedging instrument | Net Investment Hedges | Senior notes      
Derivative instruments, notional amount and fair value      
Principal amount of unsecured senior notes | €   € 3,600,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in asset position 113   1
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash Flow Hedges      
Derivative instruments, notional amount and fair value      
Notional amount of derivative instruments $ 1,400   2,200
Duration of forward contracts 18 months    
Approximate length of time over which accumulated gains and losses will be recognized in cost of products sold 6 months    
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash Flow Hedges | Accounts payable and accrued liabilities      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in liability position $ 0   120
Designated as hedging instrument | Foreign currency forward exchange contracts | Net Investment Hedges      
Derivative instruments, notional amount and fair value      
Notional amount of derivative instruments | €   € 3,500,000,000  
Designated as hedging instrument | Interest rate swap | Fair Value Hedging      
Derivative instruments, notional amount and fair value      
Notional amount of derivative instruments 10,800   11,800
Designated as hedging instrument | Interest rate swap | Fair Value Hedging | Prepaid expenses and other      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in asset position 0   0
Designated as hedging instrument | Interest rate swap | Fair Value Hedging | Accounts payable and accrued liabilities      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in liability position 0   8
Designated as hedging instrument | Interest rate swap | Fair Value Hedging | Other assets      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in asset position 0   0
Designated as hedging instrument | Interest rate swap | Fair Value Hedging | Other long-term liabilities      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in liability position 466   393
Not designated as hedging instrument | Foreign currency forward exchange contracts      
Derivative instruments, notional amount and fair value      
Notional amount of derivative instruments 8,600   7,700
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in asset position 19   22
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities      
Derivative instruments, notional amount and fair value      
Foreign currency contracts in liability position $ 26   $ 29