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Financial Instruments and Fair Value Measures - Financial Instruments (Details)
£ in Millions, SFr in Millions, $ in Millions
12 Months Ended
Dec. 31, 2019
USD ($)
company
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2019
EUR (€)
company
Dec. 31, 2019
CHF (SFr)
company
Dec. 31, 2019
GBP (£)
company
Sep. 30, 2019
USD ($)
Sep. 30, 2019
EUR (€)
Derivative instruments, notional amount and fair value                
Number of outstanding derivative instruments containing credit risk contingent features | company 0     0 0 0    
Fair value - Derivatives in asset position $ 53 $ 132            
Fair value - Derivatives in liability position 132 492            
Senior notes | September 2019 senior Euro notes                
Derivative instruments, notional amount and fair value                
Aggregate principal amount of senior Euro notes | €               € 1,400,000,000
Designated as hedging instrument | Net investment hedges | Senior notes                
Derivative instruments, notional amount and fair value                
Aggregate principal amount of senior Euro notes | €       € 3,600,000,000        
Designated as hedging instrument | Net investment hedges | Senior notes | September 2019 senior Euro notes                
Derivative instruments, notional amount and fair value                
Aggregate principal amount of senior Euro notes | €       1,400,000,000        
Designated as hedging instrument | Net investment hedges | Senior notes | Senior Euro notes                
Derivative instruments, notional amount and fair value                
Aggregate principal amount of senior Euro notes | €       1,400,000,000        
Designated as hedging instrument | Foreign currency forward exchange contracts                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) (5) 175 $ (250)          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments $ 957 1,400            
Duration of forward exchange contracts 18 months              
Approximate length of time over which accumulated gains and losses will be recognized in cost of products sold 6 months              
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position $ 3 113            
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position 14 0            
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments       € 971,000,000 SFr 62 £ 204    
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position 0 0            
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position 24 0            
Designated as hedging instrument | Treasury rate lock agreements                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) 383 0 0          
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments             $ 10,000  
Designated as hedging instrument | Interest rate swap contracts                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) 4 0 $ 0          
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments 2,300              
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position 3 0            
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position 0 0            
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments 10,800 10,800            
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position 0 0            
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position 2 0            
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position 28 0            
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position 74 466            
Not designated as hedging instrument | Foreign currency forward exchange contracts                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments 7,100 8,600            
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position 19 19            
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position $ 18 $ 26