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Financial instruments (Details 3) - USD ($)
$ in Millions
3 Months Ended
Jun. 30, 2020
Dec. 31, 2019
Disclosure of detailed information about borrowings [line items]    
Transfers out of Level 3 of fair value hierarchy, assets $ 26  
Financial liabilities, at fair value 27,700 $ 23,700
Financial liabilities 25,200 $ 22,200
Alcon [member]    
Disclosure of detailed information about borrowings [line items]    
Gain (loss) on sale of other financial assets 16  
Fair value of other financial assets sold $ 287