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Details to the consolidated statements of cash flows (Details 3) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Statement [line items]        
Net cash flows $ 0 $ (286) $ (9,901) $ (382)
Acquisitions        
Statement [line items]        
Net assets recognized as a result of business combinations (32) (407) (10,030) (486)
Fair value of previously held equity interests   34   34
Receivables and payables contingent consideration, net 17 88 77 88
Payments, deferred consideration and other adjustments, net 13 (3) 65 (3)
Net cash flows (2) (288) (9,888) (367)
Divestments        
Statement [line items]        
Net cash flows $ 2 $ 2 (13) (15)
Net cash outflows from divestments     15 $ 15
Prepaid sales price for a business divestment     $ 2