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Goodwill and Intangible Assets - Intangible Assets (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2020
Dec. 31, 2019
Goodwill and Intangible Assets      
Gross amount of amortizable intangible assets $ 27,500 $ 27,500 $ 27,600
Accumulated amortization of intangible assets 13,500 13,500 11,900
Decrease in intangible assets due to foreign currency translation adjustments   (69)  
Estimated annual amortization expense, intangible assets, 2020 2,100 2,100  
Estimated annual amortization expense, intangible assets, 2021 2,000 2,000  
Estimated annual amortization expense, intangible assets, 2022 2,000 2,000  
Estimated annual amortization expense, intangible assets, 2023 2,000 2,000  
Estimated annual amortization expense, intangible assets, 2024 1,900 1,900  
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination 1,200 1,200 $ 1,300
Medical Devices      
Goodwill and Intangible Assets      
Impairment of amortizable intangible assets $ 148 $ 148