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Selected Quarterly Financial Data (unaudited) (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Oct. 01, 2017
Jul. 02, 2017
Apr. 02, 2017
Jan. 01, 2017
Oct. 02, 2016
Jul. 03, 2016
Apr. 03, 2016
Dec. 31, 2017
Jan. 01, 2017
Jan. 03, 2016
Summary of Selected Quarterly Financial Data (unaudited)                      
Sales to customers $ 20,195 $ 19,650 $ 18,839 $ 17,766 $ 18,106 $ 17,820 $ 18,482 $ 17,482 $ 76,450 $ 71,890 $ 70,074
Gross profit 12,952 12,748 13,016 12,380 12,572 12,334 13,146 12,153 51,096 50,205 48,538
Earnings before provision for taxes on income 2,560 4,790 4,748 5,575 4,324 5,281 4,904 5,294 17,673 19,803 19,196
Net earnings $ (10,713) $ 3,764 $ 3,827 $ 4,422 $ 3,814 $ 4,272 $ 3,997 $ 4,457 $ 1,300 $ 16,540 $ 15,409
Basic net earnings per share $ (3.99) $ 1.40 $ 1.42 $ 1.63 $ 1.41 $ 1.56 $ 1.46 $ 1.62 $ 0.48 $ 6.04 $ 5.56
Diluted net earnings per share $ (3.99) $ 1.37 $ 1.40 $ 1.61 $ 1.38 $ 1.53 $ 1.43 $ 1.59 $ 0.47 $ 5.93 $ 5.48
Restructuring charge, after tax $ 237 $ 136 $ 101 $ 121 $ 251 $ 76 $ 97 $ 120      
Litigation income (expense) net after-tax (506) (97) (352)   (80) (46) (493) (56)      
Litigation expense 645 118 493   96 55 600 66     $ 141
Acquisition related costs after tax 313                    
Acquisition related costs 217                    
Restructuring charges                 $ 309 $ 491 509
In-process research and development, after tax 266                    
In-process research and development 408               408 29 224
Asset impairment benefit 116                    
Provisional charge 13,600                    
asset impairment charge after-tax     125                
Asset Impairment Charges                 795 283 624
Medical Devices                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Litigation expense                 1,139 806 5
Restructuring charges 284 187 128 161 298 109 141 137 850 685 590
In-process research and development                     10
Asset Impairment Charges     182           215   346
Consumer                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Sales to customers 3,540 3,356 3,478 3,228 3,432 3,261 3,419 3,195      
Pharmaceutical                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Sales to customers 9,681 9,695 8,635 8,245 8,232 8,400 8,654 8,178      
Litigation expense                 117   136
In-process research and development                 396 $ 29 $ 214
Med Devices                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Sales to customers $ 6,974 6,599 6,726 6,293 $ 6,442 $ 6,159 $ 6,409 $ 6,109      
AMO                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Acquisition related costs after tax       251              
Acquisition related costs       $ 38              
AMO | Medical Devices                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Acquisition related costs                 140    
Actelion                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Acquisition related costs after tax   255 199                
Acquisition related costs   $ 367 $ 213           800    
Actelion | Pharmaceutical                      
Summary of Selected Quarterly Financial Data (unaudited)                      
Acquisition related costs                 $ 797