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Derivatives - Statement of Income Location and Impact of Cash Flow (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Sep. 30, 2018
Cost of sales      
Derivatives in Fair Value Hedging Relationships      
Total amounts of income and expense line items presented in the consolidated statement of income in which the effects of cash flow or fair value hedges are recorded $ 4,188 $ 12,811  
Other expense (income), net      
Derivatives in Fair Value Hedging Relationships      
Total amounts of income and expense line items presented in the consolidated statement of income in which the effects of cash flow or fair value hedges are recorded 45 349  
Gain or (loss) on fair value hedging relationships:      
Hedged items 1 (11)  
Derivatives designated as hedging instruments (1) 11  
Foreign currency forward/option contracts | Cost of sales      
Gain or (loss) on cash flow hedging relationships:      
Amount of gain or (loss) reclassified from accumulated other comprehensive income into income 22 50  
Interest rate swap contracts | Other expense (income), net      
Gain or (loss) on cash flow hedging relationships:      
Amount of gain or (loss) reclassified from accumulated other comprehensive income into income (1) (2)  
Cash flow hedge      
Gain or (loss) on cash flow hedging relationships:      
Amount of gain or (loss) reclassified from accumulated other comprehensive income into income 21 48  
Cash flow hedge | Foreign currency forward/option contracts | Cost of sales      
Gain or (loss) on cash flow hedging relationships:      
Amount of gain or (loss) reclassified from accumulated other comprehensive income into income $ 22 $ 50  
Fair value hedges      
Gain or (loss) on fair value hedging relationships:      
Hedged items     $ (12)