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Financial Instruments (Tables) | 12 Months Ended
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Dec. 31, 2018
Derivative Instruments and Hedging Activities Disclosure [Abstract] |
Effect of Net Investment Hedges | The effects of the Company’s net investment hedges on OCI and the Consolidated Statement of Income are shown below:
| Amount of Pretax (Gain) Loss Recognized in Other Comprehensive Income (1) |  | Amount of Pretax (Gain) Loss Recognized in Other (income) expense, net for Amounts Excluded from Effectiveness Testing
Years Ended December 31 | 2018 |  | 2017 |  | 2016 |  | 2018 |  | 2017 |  | 2016
Net Investment Hedging Relationships |  |  |  |  |  |  |  |  |  |  |
Foreign exchange contracts | $ | (18 | ) |  | $ | — |  |  | $ | 2 |  |  | $ | (11 | ) |  | $ | — |  |  | $ | (1 | )
Euro-denominated notes | (183 | ) |  | 520 |  |  | (193 | ) |  | — |  |  | — |  |  | — |
(1) No amounts were reclassified from AOCI into income related to the sale of a subsidiary.
Summary of Interest Rate Derivatives | At December 31, 2018, the Company was a party to 19 pay-floating, receive-fixed interest rate swap contracts designated as fair value hedges of fixed-rate notes in which the notional amounts match the amount of the hedged fixed-rate notes as detailed in the table below.
| 2018
Debt Instrument | Par Value of Debt |  | Number of Interest Rate Swaps Held |  | Total Swap Notional Amount
1.85% notes due 2020 | $ | 1,250 |  |  | 5 |  |  | $ | 1,250 |
3.875% notes due 2021 | 1,150 |  |  | 5 |  |  | 1,150 |
2.40% notes due 2022 | 1,000 |  |  | 4 |  |  | 1,000 |
2.35% notes due 2022 | 1,250 |  |  | 5 |  |  | 1,250 |
Schedule of Fair Value Hedging Instruments, Statements of Financial Performance and Financial Position, Location [Table Text Block] | The table below presents the location of amounts recorded on the Consolidated Balance Sheet related to cumulative basis adjustments for fair value hedges as of December 31:
| Carrying Amount of Hedged Liabilities |  | Cumulative Amount of Fair Value Hedging Adjustment Increase (Decrease) Included in the Carrying Amount
| 2018 |  | 2017 |  | 2018 |  | 2017
Balance Sheet Line Item in which Hedged Item is Included |  |  |  |  |  |  |
Loans payable and current portion of long-term debt | $ | — |  |  | $ | 983 |  |  | $ | — |  |  | $ | (17 | )
Long-Term Debt (1) | 4,560 |  |  | 5,146 |  |  | (82 | ) |  | (41 | )
(1) Amounts include hedging adjustment gains related to discontinued hedging relationships of $11 million at December 31, 2017.
Fair Value of Derivatives on a Gross Basis Segregated Between those Derivatives that are Designated as Hedging Instruments and those that are Not Designated as Hedging Instruments | Presented in the table below is the fair value of derivatives on a gross basis segregated between those derivatives that are designated as hedging instruments and those that are not designated as hedging instruments as of December 31:
|  |  | 2018 |  | 2017
|  |  | Fair Value of Derivative |  | U.S. Dollar Notional |  | Fair Value of Derivative |  | U.S. Dollar Notional
| Balance Sheet Caption |  | Asset |  | Liability |  | Asset |  | Liability |
Derivatives Designated as Hedging Instruments |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate swap contracts | Other assets |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 2 |  |  | $ | — |  |  | $ | 550 |
Interest rate swap contracts | Accrued and other current liabilities |  | — |  |  | — |  |  | — |  |  | — |  |  | 3 |  |  | 1,000 |
Interest rate swap contracts | Other noncurrent liabilities |  | — |  |  | 81 |  |  | 4,650 |  |  | — |  |  | 52 |  |  | 4,650 |
Foreign exchange contracts | Other current assets |  | 263 |  |  | — |  |  | 6,222 |  |  | 51 |  |  | — |  |  | 4,216 |
Foreign exchange contracts | Other assets |  | 75 |  |  | — |  |  | 2,655 |  |  | 38 |  |  | — |  |  | 1,936 |
Foreign exchange contracts | Accrued and other current liabilities |  | — |  |  | 7 |  |  | 774 |  |  | — |  |  | 71 |  |  | 2,014 |
Foreign exchange contracts | Other noncurrent liabilities |  | — |  |  | 1 |  |  | 89 |  |  | — |  |  | 1 |  |  | 20 |
|  |  | $ | 338 |  |  | $ | 89 |  |  | $ | 14,390 |  |  | $ | 91 |  |  | $ | 127 |  |  | $ | 14,386 |
Derivatives Not Designated as Hedging Instruments |  |  |  |  |  |  |  |  |  |  |  |  |
Foreign exchange contracts | Other current assets |  | $ | 116 |  |  | $ | — |  |  | $ | 5,430 |  |  | $ | 39 |  |  | $ | — |  |  | $ | 3,778 |
Foreign exchange contracts | Accrued and other current liabilities |  | — |  |  | 71 |  |  | 9,922 |  |  | — |  |  | 90 |  |  | 7,431 |
|  |  | $ | 116 |  |  | $ | 71 |  |  | $ | 15,352 |  |  | $ | 39 |  |  | $ | 90 |  |  | $ | 11,209 |
|  |  | $ | 454 |  |  | $ | 160 |  |  | $ | 29,742 |  |  | $ | 130 |  |  | $ | 217 |  |  | $ | 25,595 |
Information on Derivative Positions Subject to Master Netting Arrangements as if they were Presented on a Net Basis | The following table provides information on the Company’s derivative positions subject to these master netting arrangements as if they were presented on a net basis, allowing for the right of offset by counterparty and cash collateral exchanged per the master agreements and related credit support annexes at December 31:
| 2018 |  | 2017
| Asset |  | Liability |  | Asset |  | Liability
Gross amounts recognized in the consolidated balance sheet | $ | 454 |  |  | $ | 160 |  |  | $ | 130 |  |  | $ | 217 |
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheet | (121 | ) |  | (121 | ) |  | (94 | ) |  | (94 | )
Cash collateral received | (107 | ) |  | — |  |  | (3 | ) |  | — |
Net amounts | $ | 226 |  |  | $ | 39 |  |  | $ | 33 |  |  | $ | 123 |
Location and Pretax Gain or Loss Amounts for Derivatives | The table below provides information regarding the location and amount of pretax (gains) losses of derivatives designated in fair value or cash flow hedging relationships:
| Sales |  | Other (income) expense, net (1) |  | Other comprehensive income (loss)
Years Ended December 31 | 2018 |  | 2017 |  | 2016 |  | 2018 |  | 2017 |  | 2016 |  | 2018 |  | 2017 |  | 2016
Financial Statement Line Items in which Effects of Fair Value or Cash Flow Hedges are Recorded | $ | 42,294 |  |  | $ | 40,122 |  |  | $ | 39,807 |  |  | $ | (402 | ) |  | (500 | ) |  | 189 |  |  | $ | (361 | ) |  | $ | 316 |  |  | $ | (1,078 | )
(Gain) loss on fair value hedging relationships |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate swap contracts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Hedged items | — |  |  | — |  |  | — |  |  | (27 | ) |  | (48 | ) |  | (29 | ) |  | — |  |  | — |  |  | — |
Derivatives designated as hedging instruments | — |  |  | — |  |  | — |  |  | 50 |  |  | 12 |  |  | (35 | ) |  | — |  |  | — |  |  | — |
Impact of cash flow hedging relationships |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Foreign exchange contracts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount of gain (loss) recognized in OCI on derivatives | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 228 |  |  | (562 | ) |  | 210 |
(Decrease) increase in Sales as a result of AOCI reclassifications | (160 | ) |  | 138 |  |  | 311 |  |  | — |  |  | — |  |  | — |  |  | 160 |  |  | (138 | ) |  | (311 | )
(1) Interest expense is a component of Other (income) expense, net.
Income Statement Effects of Derivatives Not Designated as Hedging Instruments | The table below provides information regarding the income statement effects of derivatives not designated as hedging instruments:
|  |  |  | Amount of Derivative Pretax (Gain) Loss Recognized in Income
Years Ended December 31 |  | Income Statement Caption |  | 2018 |  | 2017 |  | 2016
Derivatives Not Designated as Hedging Instruments |  |  |  |  |  |  |  |
Foreign exchange contracts (1) |  | Other (income) expense, net |  | $ | (260 | ) |  | $ | 110 |  |  | $ | 132 |
Foreign exchange contracts (2) |  | Sales |  | (8 | ) |  | (3 | ) |  | — |
(1) These derivative contracts mitigate changes in the value of remeasured foreign currency denominated monetary assets and liabilities attributable to changes in foreign currency exchange rates. (2) These derivative contracts serve as economic hedges of forecasted transactions.
Information on Investments in Debt and Equity Securities | Information on investments in debt and equity securities at December 31 is as follows:
| 2018 |  | 2017
| Fair Value |  | Amortized Cost |  | Gross Unrealized |  | Fair Value |  | Amortized Cost |  | Gross Unrealized
| Gains |  | Losses |  | Gains |  | Losses
Corporate notes and bonds | $ | 4,920 |  |  | $ | 4,985 |  |  | $ | 3 |  |  | $ | (68 | ) |  | $ | 9,806 |  |  | $ | 9,837 |  |  | $ | 9 |  |  | $ | (40 | )
Asset-backed securities | 1,275 |  |  | 1,285 |  |  | 1 |  |  | (11 | ) |  | 1,542 |  |  | 1,548 |  |  | 1 |  |  | (7 | )
U.S. government and agency securities | 892 |  |  | 895 |  |  | 2 |  |  | (5 | ) |  | 2,042 |  |  | 2,059 |  |  | — |  |  | (17 | )
Foreign government bonds | 166 |  |  | 167 |  |  | — |  |  | (1 | ) |  | 733 |  |  | 739 |  |  | — |  |  | (6 | )
Mortgage-backed securities | 8 |  |  | 8 |  |  | — |  |  | — |  |  | 626 |  |  | 634 |  |  | 1 |  |  | (9 | )
Commercial paper | — |  |  | — |  |  | — |  |  | — |  |  | 159 |  |  | 159 |  |  | — |  |  | — |
Total debt securities | 7,261 |  |  | 7,340 |  |  | 6 |  |  | (85 | ) |  | 14,908 |  |  | 14,976 |  |  | 11 |  |  | (79 | )
Publicly traded equity securities (1) | 456 |  |  |  |  |  |  |  |  | 275 |  |  | 265 |  |  | 16 |  |  | (6 | )
Total debt and publicly traded equity securities | $ | 7,717 |  |  |  |  |  |  |  |  |  |  |  | $ | 15,183 |  |  | $ | 15,241 |  |  | $ | 27 |  |  | $ | (85 | )
Financial Assets and Liabilities Measured at Fair Value on a Recurring Basis | Financial assets and liabilities measured at fair value on a recurring basis at December 31 are summarized below:
| Fair Value Measurements Using |  | Fair Value Measurements Using
| Quoted Prices In Active Markets for Identical Assets (Level 1) |  | Significant Other Observable Inputs (Level 2) |  | Significant Unobservable Inputs (Level 3) |  | Total |  | Quoted Prices In Active Markets for Identical Assets (Level 1) |  | Significant Other Observable Inputs (Level 2) |  | Significant Unobservable Inputs (Level 3) |  | Total
| 2018 |  | 2017
Assets |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Corporate notes and bonds | $ | — |  |  | $ | 4,835 |  |  | $ | — |  |  | $ | 4,835 |  |  | $ | — |  |  | $ | 9,678 |  |  | $ | — |  |  | $ | 9,678 |
Asset-backed securities (1) | — |  |  | 1,253 |  |  | — |  |  | 1,253 |  |  | — |  |  | 1,476 |  |  | — |  |  | 1,476 |
U.S. government and agency securities | — |  |  | 731 |  |  | — |  |  | 731 |  |  | 68 |  |  | 1,767 |  |  | — |  |  | 1,835 |
Foreign government bonds | — |  |  | 166 |  |  | — |  |  | 166 |  |  | — |  |  | 732 |  |  | — |  |  | 732 |
Mortgage-backed securities | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 547 |  |  | — |  |  | 547 |
Commercial paper | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 159 |  |  | — |  |  | 159 |
Publicly traded equity securities | 147 |  |  | — |  |  | — |  |  | 147 |  |  | 104 |  |  | — |  |  | — |  |  | 104 |
| 147 |  |  | 6,985 |  |  | — |  |  | 7,132 |  |  | 172 |  |  | 14,359 |  |  | — |  |  | 14,531 |
Other assets (2) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
U.S. government and agency securities | 55 |  |  | 106 |  |  | — |  |  | 161 |  |  | — |  |  | 207 |  |  | — |  |  | 207 |
Corporate notes and bonds | — |  |  | 85 |  |  | — |  |  | 85 |  |  | — |  |  | 128 |  |  | — |  |  | 128 |
Asset-backed securities (1) | — |  |  | 22 |  |  | — |  |  | 22 |  |  | — |  |  | 66 |  |  | — |  |  | 66 |
Mortgage-backed securities | — |  |  | 8 |  |  | — |  |  | 8 |  |  | — |  |  | 79 |  |  | — |  |  | 79 |
Foreign government bonds | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 1 |  |  | — |  |  | 1 |
Publicly traded equity securities | 309 |  |  | — |  |  | — |  |  | 309 |  |  | 171 |  |  | — |  |  | — |  |  | 171 |
| 364 |  |  | 221 |  |  | — |  |  | 585 |  |  | 171 |  |  | 481 |  |  | — |  |  | 652 |
Derivative assets (3) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Forward exchange contracts | — |  |  | 241 |  |  | — |  |  | 241 |  |  | — |  |  | 48 |  |  | — |  |  | 48 |
Purchased currency options | — |  |  | 213 |  |  | — |  |  | 213 |  |  | — |  |  | 80 |  |  | — |  |  | 80 |
Interest rate swaps | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 2 |  |  | — |  |  | 2 |
| — |  |  | 454 |  |  | — |  |  | 454 |  |  | — |  |  | 130 |  |  | — |  |  | 130 |
Total assets | $ | 511 |  |  | $ | 7,660 |  |  | $ | — |  |  | $ | 8,171 |  |  | $ | 343 |  |  | $ | 14,970 |  |  | $ | — |  |  | $ | 15,313 |
Liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration | $ | — |  |  | $ | — |  |  | $ | 788 |  |  | $ | 788 |  |  | $ | — |  |  | $ | — |  |  | $ | 935 |  |  | $ | 935 |
Derivative liabilities (3) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate swaps | — |  |  | 81 |  |  | — |  |  | 81 |  |  | — |  |  | 55 |  |  | — |  |  | 55 |
Forward exchange contracts | — |  |  | 74 |  |  | — |  |  | 74 |  |  | — |  |  | 162 |  |  | — |  |  | 162 |
Written currency options | — |  |  | 5 |  |  | — |  |  | 5 |  |  | — |  |  | — |  |  | — |  |  | — |
| — |  |  | 160 |  |  | — |  |  | 160 |  |  | — |  |  | 217 |  |  | — |  |  | 217 |
Total liabilities | $ | — |  |  | $ | 160 |  |  | $ | 788 |  |  | $ | 948 |  |  | $ | — |  |  | $ | 217 |  |  | $ | 935 |  |  | $ | 1,152 |
(1) | Primarily all of the asset-backed securities are highly-rated (Standard & Poor’s rating of AAA and Moody’s Investors Service rating of Aaa), secured primarily by auto loan, credit card and student loan receivables, with weighted-average lives of primarily 5 years or less.
(2) | Investments included in other assets are restricted as to use, primarily for the payment of benefits under employee benefit plans.
(3) | The fair value determination of derivatives includes the impact of the credit risk of counterparties to the derivatives and the Company’s own credit risk, the effects of which were not significant.
Summarized Information about the Changes in Liabilities for Contingent Consideration | Summarized information about the changes in liabilities for contingent consideration is as follows:
| 2018 |  | 2017
Fair value January 1 | $ | 935 |  |  | $ | 891 |
Changes in estimated fair value (1) | 89 |  |  | 141 |
Additions | 8 |  |  | 3 |
Payments | (244 | ) |  | (100 | )
Fair value December 31 (2) | $ | 788 |  |  | $ | 935 |
(1) Recorded in Research and development expenses, Cost of sales and Other (income) expense, net. Includes cumulative translation adjustments. (2) Balance at December 31, 2018 includes $89 million recorded as a current liability for amounts expected to be paid within the next 12 months.

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