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Income Taxes - Comparison of Income Taxes at Statutory Rate and Company's Effective Tax Rate (Details) - USD ($)
$ 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
Comparison Of Income Tax Expense At Statutory Rate And Company's Tax Rate Abstract                      
U.S.                 $ 4,865 $ 7,457 $ 8,179
International                 12,808 12,346 11,017
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
Tax Rates:                      
U.S. statutory rate                 35.00% 35.00% 35.00%
International operations (1)                 (12.80%) (17.20%) (15.40%)
Research and orphan drug tax credits                 (0.40%) (0.40%) (0.20%)
U.S. state and local                 0.60% (0.10%) 0.40%
U.S. manufacturing deduction                 (0.80%) (0.60%) (0.60%)
U.S. tax on international income                 0.70% 1.30% 0.20%
Tax benefits on share based compensation                 (2.10%) (1.80%) (0.00%)
U.S. tax benefit on asset/business disposals                 (0.80%) 0.00% 0.00%
All other                 (0.10%) 0.30% 0.30%
TCJA impact                 73.30% 0.00% 0.00%
Effective tax rate                 92.60% 16.50% 19.70%
State and Local Jurisdiction                      
Tax Rates:                      
TCJA impact                 0.60%    
Administration of the Treasury, Belgium [Member]                      
Tax Rates:                      
TCJA impact                 3.40%