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Goodwill and Other Acquired Intangible Assets - Future Amortization Expense (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]      
Amortization of intangible assets $ 1,000 $ 817 $ 795
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]      
2019 2,563    
2020 2,350    
2021 2,253    
2022 1,879    
2023 $ 1,844