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Financial Instruments and Fair Value Measures - Amount Of Gain/(Loss) Recognized For Derivative Instruments (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Gain (loss) on derivatives    
Foreign currency cash flow hedge gain expected to be reclassified during next 12 months $ 126  
Fair Value Hedges | Interest expense, net    
Gain (loss) on derivatives    
Debt designated as hedged item in fair value hedges gain (loss) (112) $ 184
Senior notes | Designated as hedging instrument    
Gain (loss) on derivatives    
Pre-tax gains (losses) from non-derivative net investment hedge recognized in other comprehensive income 84 (134)
Foreign currency forward exchange contracts    
Gain (loss) on derivatives    
Pre-tax gains (losses) from derivative instruments recognized in other comprehensive income 3 (48)
Foreign currency forward exchange contracts | Not designated as hedges | Net foreign exchange loss    
Gain (loss) on derivatives    
Derivative gain (loss), net 15 (59)
Foreign currency forward exchange contracts | Cash Flow Hedges | Designated as hedging instrument | Cost of products sold    
Gain (loss) on derivatives    
Derivative gain (loss), net 40 (44)
Interest rate swaps designated as fair value hedges | Fair Value Hedges | Designated as hedging instrument | Interest expense, net    
Gain (loss) on derivatives    
Derivative gain (loss), net $ 112 $ (184)