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Goodwill and other intangible assets (Tables)
 6 Months Ended
Jun. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of goodwill
The change in the carrying amount of goodwill was as follows (in millions):
Six months ended
June 30, 2023
Beginning balance$15,529 
Adjustments to goodwill resulting from acquisitions and divestitures, net(8)
Currency translation adjustment10 
Ending balance$15,531 
Schedule of identifiable intangible assets
Other intangible assets consisted of the following (in millions):
 June 30, 2023December 31, 2022
 Gross
carrying
amounts		Accumulated
amortization		Other intangible
assets, net		Gross
carrying
amounts		Accumulated
amortization		Other intangible
assets, net
Finite-lived intangible assets:
Developed-product-technology rights$29,040 $(16,310)$12,730 $29,028 $(15,045)$13,983 
Licensing rights3,864 (3,197)667 3,864 (3,123)741 
Marketing-related rights1,312 (1,195)117 1,326 (1,167)159 
Research and development technology rights1,392 (1,214)178 1,378 (1,190)188 
Total finite-lived intangible assets35,608 (21,916)13,692 35,596 (20,525)15,071 
Indefinite-lived intangible assets:
In-process research and development941 — 941 1,009 — 1,009 
Total other intangible assets$36,549 $(21,916)$14,633 $36,605 $(20,525)$16,080