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Financial Instruments - Effect of Hedge Activity on Income and Expense (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Derivative Instruments, Gain (Loss)      
Cost $ 42,655 $ 42,196 [1] $ 41,403 [1]
SG&A expense 19,366 19,680 [1] 20,869 [1]
Other (income) and expense 1,152 1,125 [1] 593 [1]
Interest expense 723 615 630
Cost of services      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity 30    
Cost of sales      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity 8    
Cost of financing      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity (6)    
SG&A expense      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity (116)    
Other (income) and expense      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity (434)    
Interest expense      
Derivative Instruments, Gain (Loss)      
Gains/(losses) of total hedge activity (6)    
Services      
Derivative Instruments, Gain (Loss)      
Cost 34,059 33,811 [1] 33,792 [1]
Sales      
Derivative Instruments, Gain (Loss)      
Cost 7,464 7,175 [1] 6,566 [1]
Financing      
Derivative Instruments, Gain (Loss)      
Cost $ 1,132 $ 1,210 $ 1,044
[1] * Recast to reflect adoption of the FASB guidance on presentation of net periodic pension and nonpension postretirement benefit costs.