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Property, plant and equipment (Tables)
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment Disclosure [Abstract]  
Property, Plant and Equipment
Property, plant and equipment is summarized as follows (in millions):
 
 
December 31,
 
 
2018
 
2017
Land and land improvements
 
$
404

 
$
396

Buildings and improvements (including leasehold improvements)
 
2,344

 
2,176

Laboratory and manufacturing equipment
 
697

 
533

Office and computer equipment
 
558

 
494

Construction in progress
 
1,194

 
690

Subtotal
 
5,197

 
4,289

Less accumulated depreciation and amortization
 
(1,191
)
 
(994
)
Total
 
$
4,006

 
$
3,295