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Property, plant and equipment (Schedule) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]      
Land $ 263 $ 265  
Buildings and improvements 3,757 3,616  
Manufacturing equipment 2,655 2,418  
Laboratory equipment 1,236 1,174  
Capitalized software 1,154 1,124  
Other 3,313 3,204  
Construction in progress 907 953  
Property, plant and equipment, gross 13,285 12,754  
Less accumulated depreciation and amortization (8,357) (7,796)  
Property, plant and equipment, net 4,928 4,958  
Depreciation and amortization charges associated with property, plant and equipment $ 635 $ 630 $ 604
Buildings and improvements [Member] | Minimum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 10 years    
Buildings and improvements [Member] | Maximum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 40 years    
Manufacturing equipment [Member] | Minimum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 8 years    
Manufacturing equipment [Member] | Maximum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 12 years    
Laboratory equipment [Member] | Minimum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 8 years    
Laboratory equipment [Member] | Maximum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 12 years    
Capitalized software [Member] | Minimum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 3 years    
Capitalized software [Member] | Maximum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 5 years    
Other [Member] | Minimum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 3 years    
Other [Member] | Maximum [Member]      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 15 years