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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 23,679 $ 22,799
Increase in goodwill 576  
Increase (decrease) in goodwill due to foreign currency translation adjustments 304 (431)
Amount of reductions of goodwill relating to impairments 0 0
Gross amount of amortizable intangible assets 27,700 27,200
Increase in amortizable intangible assets 305  
Accumulated amortization of intangible assets 19,700 17,600
Increase (decrease) in intangible assets due to foreign currency translation adjustments 44 (150)
Estimated annual amortization expense, intangible assets, year one 1,900  
Estimated annual amortization expense, intangible assets, year two 1,700  
Estimated annual amortization expense, intangible assets, year three 1,600  
Estimated annual amortization expense, intangible assets, year four 1,300  
Estimated annual amortization expense, intangible assets, year five 700  
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination 787 $ 807
Increase in in-process research and development assets $ 80  
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration] Research and development Research and development
Minimum    
Goodwill and Intangible Assets [Line Items]    
Amortization period of intangible assets 2 years  
Maximum    
Goodwill and Intangible Assets [Line Items]    
Amortization period of intangible assets 20 years  
Established Pharmaceutical Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 2,700  
Nutritional Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 285  
Diagnostic Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 3,600  
Medical Devices    
Goodwill and Intangible Assets [Line Items]    
Goodwill 17,100  
Impairment of indefinite-lived intangible assets in-process research and development project $ 100 $ 111