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Segmentation of key figures (Details 3) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Disclosure of operating segments [line items]      
Total assets $ 117,453 $ 131,795  
Total liabilities (58,030) (63,973)  
Total equity 59,423 67,822 $ 56,666
Net debt 7,245 868  
Net operating assets 66,668 68,690  
Property, plant and equipment 10,764 11,545 12,263
Additions to property, plant and equipment 1,219 1,430  
Right-of-use assets 1,431 1,561 $ 1,676
Additions to right-of-use assets 247 321  
Intangible assets and goodwill 60,945 63,777  
Additions to intangible assets and goodwill 2,093 1,736  
Investment in associated companies 143 205  
Additions to investment in associated companies 38 43  
Cash and cash equivalents, marketable securities, commodities, time deposits and derivative financial instruments 18,930 28,329  
Financial debts and derivative instruments 26,175 29,197  
Current income tax liabilities and deferred tax liabilities 5,219 5,485  
Operating segments [member] | Innovative Medicines      
Disclosure of operating segments [line items]      
Total assets 75,510 79,220  
Total liabilities (16,966) (15,929)  
Net operating assets 58,544 63,291  
Property, plant and equipment 8,488 9,168  
Additions to property, plant and equipment 842 991  
Right-of-use assets 1,233 1,349  
Additions to right-of-use assets 196 222  
Intangible assets and goodwill 51,357 53,919  
Additions to intangible assets and goodwill 1,791 1,491  
Investment in associated companies 107 170  
Additions to investment in associated companies 25 24  
Operating segments [member] | Sandoz      
Disclosure of operating segments [line items]      
Total assets 16,078 16,192  
Total liabilities (3,710) (3,632)  
Net operating assets 12,368 12,560  
Property, plant and equipment 1,861 1,901  
Additions to property, plant and equipment 292 349  
Right-of-use assets 90 104  
Additions to right-of-use assets 31 26  
Intangible assets and goodwill 9,230 9,603  
Additions to intangible assets and goodwill 163 102  
Investment in associated companies 9 7  
Operating segments [member] | Corporate      
Disclosure of operating segments [line items]      
Total assets 25,865 36,383  
Total liabilities (37,354) (44,412)  
Net debt 7,245 868  
Net operating assets (4,244) (7,161)  
Property, plant and equipment 415 476  
Additions to property, plant and equipment 85 90  
Right-of-use assets 108 108  
Additions to right-of-use assets 20 73  
Intangible assets and goodwill 358 255  
Additions to intangible assets and goodwill 139 143  
Investment in associated companies 27 28  
Additions to investment in associated companies 13 19  
Cash and cash equivalents, marketable securities, commodities, time deposits and derivative financial instruments 18,930 28,329  
Financial debts and derivative instruments 26,175 29,197  
Current income tax liabilities and deferred tax liabilities $ 5,219 $ 5,485