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Financial Instruments, Derivatives and Fair Value Measures - Gain or Loss (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Not designated as hedging instrument        
Gain (loss) on derivatives        
Income (expense) and Gains (loss) Reclassified into Income $ (100) $ 49 $ (198) $ 124
Foreign currency forward exchange contracts | Cash flow hedges | Designated as hedging instrument | Cost of products sold        
Gain (loss) on derivatives        
Gain (loss) Recognized in Other Comprehensive Income (loss) 103 99 (35) 78
Income (expense) and Gains (loss) Reclassified into Income 48 26 90 58
Debt | Net investment hedges | Designated as hedging instrument        
Gain (loss) on derivatives        
Gain (loss) Recognized in Other Comprehensive Income (loss) (10)   (20)  
Interest rate swaps | Fair value hedges | Designated as hedging instrument | Interest expense        
Gain (loss) on derivatives        
Income (expense) and Gains (loss) Reclassified into Income $ (11) $ 35 $ 184 $ 174