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Intangible Assets Including Goodwill - Intangible Assets Activity (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Jun. 30, 2022
Sep. 30, 2022
Sep. 30, 2021
Intangible assets          
Intangible assets, increase (decrease)       $ (1,544)  
Intangible asset amortization expense $ 577 $ 640   1,828 $ 1,880
Retirement of fully amortized intangible assets       $ 647  
Divested businesses | Healthcare software assets divestiture          
Intangible assets          
Intangible assets, increase (decrease)     $ (1,313)    
Accumulated amortization, increase (decrease)     $ (1,149)