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Intangible Assets Including Goodwill - Goodwill by Segment (Details) - USD ($)
$ in Millions
9 Months Ended 12 Months Ended
Sep. 30, 2018
Dec. 31, 2017
Changes in Goodwill Balances    
Beginning Balance $ 36,788 $ 36,199
Goodwill Additions 34 16
Purchase Price Adjustments (4) (38)
Divestitures (1) (20)
Foreign Currency Translation and Other Adjustments (291) 631
Ending Balance 36,526 36,788
Goodwill impairment losses 0 0
Goodwill accumulated impairment losses 0 0
Cognitive Solutions    
Changes in Goodwill Balances    
Beginning Balance 19,665 19,484
Goodwill Additions 10 3
Purchase Price Adjustments 0 (38)
Divestitures (1) (20)
Foreign Currency Translation and Other Adjustments (148) 235
Ending Balance 19,526 19,665
Global Business Services    
Changes in Goodwill Balances    
Beginning Balance 4,813 4,607
Goodwill Additions 24  
Purchase Price Adjustments (4) 2
Foreign Currency Translation and Other Adjustments (51) 204
Ending Balance 4,782 4,813
Technology Services & Cloud Platforms    
Changes in Goodwill Balances    
Beginning Balance 10,447 10,258
Goodwill Additions   13
Purchase Price Adjustments 0 (2)
Foreign Currency Translation and Other Adjustments (86) 179
Ending Balance 10,361 10,447
Systems    
Changes in Goodwill Balances    
Beginning Balance 1,862 1,850
Purchase Price Adjustments   0
Foreign Currency Translation and Other Adjustments (6) 13
Ending Balance $ 1,857 $ 1,862