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Financial Instruments - Derivatives, Gains and Losses (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Derivative Instruments, Gain (Loss)    
Gain (loss) recognized in earnings on derivatives $ 212 $ (222)
Gain (loss) recognized in earnings attributable to risk being hedged (69) 182
Cash flow hedges and net investment hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Recognized in OCI (333) (143)
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI (98) 54
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Amounts Excluded from Effectiveness Testing 17 12
Interest rate contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Recognized in OCI (171)  
Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Recognized in OCI (181) 61
Foreign exchange contracts | Instruments in net investment hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Recognized in OCI 19 (204)
Cost of services | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI 10 19
Cost of sales | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI 18 (17)
Cost of financing | Interest rate contracts | Derivative instruments in fair value hedges    
Derivative Instruments, Gain (Loss)    
Gain (loss) recognized in earnings on derivatives 36 (80)
Gain (loss) recognized in earnings attributable to risk being hedged (33) 96
Cost of financing | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI (29) (18)
Cost of financing | Foreign exchange contracts | Instruments in net investment hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Amounts Excluded from Effectiveness Testing 8 6
SG&A expense | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI 22 (18)
SG&A expense | Equity contracts | Not designated as hedging instruments - economic hedges    
Derivative Instruments, Gain (Loss)    
Gain (loss) recognized in earnings on derivatives 119 (14)
Other (income) and expense | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI (87) 104
Other (income) and expense | Foreign exchange contracts | Not designated as hedging instruments - economic hedges    
Derivative Instruments, Gain (Loss)    
Gain (loss) recognized in earnings on derivatives 18 (55)
Interest expense | Interest rate contracts | Derivative instruments in fair value hedges    
Derivative Instruments, Gain (Loss)    
Gain (loss) recognized in earnings on derivatives 39 (72)
Gain (loss) recognized in earnings attributable to risk being hedged (36) 87
Interest expense | Foreign exchange contracts | Derivative instruments in cash flow hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Reclassified from AOCI (33) (16)
Interest expense | Foreign exchange contracts | Instruments in net investment hedges    
Derivative Instruments, Gain (Loss)    
Gain (Loss) Recognized in Earnings and Other Comprehensive Income - Amounts Excluded from Effectiveness Testing $ 9 $ 6