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Goodwill and other intangible assets (Tables)
 9 Months Ended
Sep. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The change in the carrying amount of goodwill was as follows (in millions):
Balance at December 31, 2024
$18,637 
Foreign currency translation adjustments
39 
Balance at September 30, 2025
$18,676 
Schedule of Other Intangible Assets
Other intangible assets consisted of the following (in millions):
 September 30, 2025December 31, 2024
 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$47,803 $(25,884)$21,919 $48,611 $(22,594)$26,017 
Licensing rights3,875 (3,490)385 3,875 (3,392)483 
Research and development technology rights1,421 (1,296)125 1,374 (1,235)139 
Marketing-related rights1,202 (1,202)— 1,202 (1,202)— 
Total finite-lived intangible assets54,301 (31,872)22,429 55,062 (28,423)26,639 
Indefinite-lived intangible assets:
In-process research and development710 — 710 1,060 — 1,060 
Total other intangible assets$55,011 $(31,872)$23,139 $56,122 $(28,423)$27,699