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Financing arrangements (Long-term Borrowings) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Carrying values of long-term borrowings      
Short-term loan $ 0 $ 605  
Total carrying value of debt 35,342 34,596  
Less current portion (1,152) (4,403)  
Total noncurrent debt $ 34,190 $ 30,193  
2.125% notes due 2017 (2.125% 2017 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note   2.125%  
Carrying values of long-term borrowings      
Notes payable, noncurrent   $ 1,250  
Floating rate notes due 2017 [Member]      
Carrying values of long-term borrowings      
Notes payable, noncurrent   $ 600  
1.25% notes due 2017 (1.25% 2017 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note   1.25%  
Carrying values of long-term borrowings      
Notes payable, noncurrent   $ 850  
5.85% notes due 2017 (5.85% 2017 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note   5.85%  
Carrying values of long-term borrowings      
Notes payable, noncurrent   $ 1,100  
6.15% notes due 2018 (6.15% 2018 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 6.15%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 500 500  
4.375% euro-denominated notes due 2018 (4.375% 2018 euro Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.375%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 653 577  
5.70% notes due 2019 (5.70% 2019 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.70%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,000 1,000  
1.90% notes due 2019 (1.90% 2019 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 1.90%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 700    
Floating rate notes due 2019 [Member]      
Debt Instrument [Line Items]      
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 550 250  
2.20% notes due 2019 (2.20% 2019 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.20%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,400 1,400  
2.125% euro-denominated notes due 2019 (2.125% 2019 euro Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.125%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 810 710  
4.50% notes due 2020 (4.50% 2020 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.50%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 300 300  
2.125% notes due 2020 (2.125% 2020 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.125%   2.125%
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 750 750  
Floating Rate Notes Due 2020 [Member]      
Debt Instrument [Line Items]      
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 300    
2.20% notes due 2020 (2.20% 2020 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.20%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 700    
3.45% notes due 2020 (3.45% 2020 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.45%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 900 900  
4.10% notes due 2021 (4.10% 2021 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.10%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,000 $ 1,000  
1.85% notes due 2021 (1.85% 2021 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 1.85% 1.85%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 750 $ 750  
3.875% notes due 2021 (3.875% 2021 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.875%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,750 $ 1,750  
1.25% notes due 2022 (1.25% 2022 euro Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 1.25% 1.25%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,501 $ 1,315  
2.70% notes due 2022 (2.70% 2022 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.70%   2.70%
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 500 500  
2.65% notes due 2022 (2.65% 2022 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.65%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,500    
3.625% notes due 2022 (3.625% 2022 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.625%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 750 $ 750  
0.41% 2023 Swiss franc Bonds [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 0.41% 0.41%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 719 $ 687  
2.25% notes due 2023 (2.25% 2023 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.25% 2.25%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 750 $ 750  
3.625% notes due 2024 (3.625% 2024 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.625%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,400 1,400  
3.125% notes due 2025 (3.125% 2025 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.125%   3.125%
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,000 $ 1,000  
2.00% 2026 euro Notes [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.00% 2.00%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 901 $ 789  
2.60% notes due 2026 (2.60% 2026 notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 2.60% 2.60%  
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,250 $ 1,250  
5.50% pound-sterling-denominated notes due 2026 (5.50% 2026 pound sterling Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.50%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 642 586  
3.20% notes due 2027 (3.20% 2027 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 3.20%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,000    
4.00% pound-sterling-denominated notes due 2029 (4.00% 2029 pound sterling Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.00%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 946 864  
6.375% notes due 2037 (6.375% 2037 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 6.375%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 552 552  
6.90% notes due 2038 (6.90% 2038 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 6.90%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 291 291  
6.40% notes due 2039 (6.40% 2039 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 6.40%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 466 466  
5.75% notes due 2040 (5.75% 2040 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.75%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 412 412  
4.95% notes due 2041 (4.95% 2041 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.95%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 600 600  
5.15% notes due 2041 (5.15% 2041 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.15%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 974 974  
5.65% notes due 2042 (5.65% 2042 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.65%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 487 487  
5.375% notes due 2043 (5.375% 2043 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 5.375%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 261 $ 261  
4.40% notes due 2045 (4.40% 2045 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.40% 4.40% 4.40%
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 2,250 $ 2,250  
4.563% notes due 2048 (4.563% 2048 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.563%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Effective interest rate on note 6.30%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 1,415 1,415  
4.663% notes due 2051 (4.663% 2051 Notes) [Member]      
Debt Instrument [Line Items]      
Stated contractual interest rate on note 4.663%    
Percentage of principal amount of notes that may be paid upon occurrence of change in control triggering event 101.00%    
Effective interest rate on note 5.60%    
Carrying values of long-term borrowings      
Notes payable, noncurrent $ 3,541 3,541  
Other notes due 2097 [Member]      
Carrying values of long-term borrowings      
Notes payable, noncurrent 100 100  
Debt Securities Payable [Member]      
Carrying values of long-term borrowings      
Unamortized bond discounts and issuance costs $ 929 $ 936  
Minimum [Member] | Debt Securities Payable [Member]      
Carrying values of long-term borrowings      
Redemption period without payment of make whole amount 1 month    
Maximum [Member] | Debt Securities Payable [Member]      
Carrying values of long-term borrowings      
Redemption period without payment of make whole amount 6 months