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Intangible Assets and Goodwill (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2018
Dec. 31, 2017
Intangible assets with indefinite lives:    
Indefinite-Lived Intangible Assets $ 9,228 $ 11,283
Total intangible assets - net 48,637 53,228
Trademarks    
Intangible assets with indefinite lives:    
Indefinite-Lived Intangible Assets 7,002 7,082
Purchased In-Process Research And Development    
Intangible assets with indefinite lives:    
Indefinite-Lived Intangible Assets 2,226 4,201
Patents And Trademarks    
Intangible assets with definite lives:    
Finite-Lived Intangible Assets, Gross 35,478 36,427
Less accumulated amortization 9,077 7,223
Finite-Lived Intangible Assets, Net 26,401 29,204
Customer relationships and other intangible assets    
Intangible assets with definite lives:    
Finite-Lived Intangible Assets, Gross 21,176 20,204
Less accumulated amortization 8,168 7,463
Finite-Lived Intangible Assets, Net 13,008 $ 12,741
Alios Biopharma Inc and XO1 Limited | Purchased In-Process Research And Development    
Intangible assets with indefinite lives:    
Indefinite-Lived Intangible Assets 1,100  
Impairment charge 800  
XO1 | Purchased In-Process Research And Development    
Intangible assets with indefinite lives:    
Impairment charge $ 300