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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Goodwill and Intangible Assets [Line Items]        
Goodwill   $ 23,277   $ 22,799
Increase in goodwill due to acquisition   590    
Decrease in goodwill due to foreign currency translation adjustments   112    
Amount of reductions of goodwill relating to impairments   0    
Gross amount of amortizable intangible assets   27,500   27,200
Increase in amortizable intangible assets due to acquisition   305    
Accumulated amortization of intangible assets   19,000   17,600
Decrease in intangible assets due to foreign currency translation adjustments   14    
Estimated annual amortization expense, intangible assets, 2023   2,000    
Estimated annual amortization expense, intangible assets, 2024   1,900    
Estimated annual amortization expense, intangible assets, 2025   1,700    
Estimated annual amortization expense, intangible assets, 2026   1,600    
Estimated annual amortization expense, intangible assets, 2027   1,300    
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination   832   $ 807
Increase in in-process R&D due to acquisition   80    
Established Pharmaceutical Products        
Goodwill and Intangible Assets [Line Items]        
Goodwill   2,600    
Nutritional Products        
Goodwill and Intangible Assets [Line Items]        
Goodwill   285    
Diagnostic Products        
Goodwill and Intangible Assets [Line Items]        
Goodwill   3,500    
Medical Devices        
Goodwill and Intangible Assets [Line Items]        
Goodwill   16,800    
Impairment of indefinite-lived intangible assets $ 111 $ 55 $ 111