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Financial Instruments - Textual (Detail) (USD $)
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12 Months Ended | 12 Months Ended | 12 Months Ended | 12 Months Ended | |||||||||||||||||||||||||||||||||
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Dec. 31, 2013
Fund
Interest_Rate_Swap
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Dec. 31, 2012
Interest_Rate_Swap
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Dec. 31, 2011
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Dec. 31, 2010
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Dec. 31, 2013
Greece, Italy, Spain and Portugal [Member]
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Dec. 31, 2013
Greece, Italy, Spain and Portugal [Member]
Hospital and public sector [Member]
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Dec. 31, 2013
Greece [Member]
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Dec. 31, 2012
Italy [Member]
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Dec. 31, 2013
Italy [Member]
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Dec. 31, 2013
Spain [Member]
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Dec. 31, 2013
Portugal [Member]
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Dec. 31, 2012
Spanish government's debt stabilization/stimulus plan [Member]
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Dec. 31, 2013
5.00% Notes Due 2019 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
0.70% notes due 2016 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
Due 2018 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
6.00% Notes Due 2017 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
0.70% notes due 2016 [Member]
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May 31, 2013
0.70% notes due 2016 [Member]
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Dec. 31, 2013
1.30% notes due 2018 [Member]
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May 31, 2013
1.30% notes due 2018 [Member]
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Dec. 31, 2013
5.00% Notes Due 2019 [Member]
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Dec. 31, 2013
6.00% Notes Due 2017 [Member]
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Dec. 31, 2013
$150 Million Notional Amount [Member]
5.00% Notes Due 2019 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
Interest Rate Swap [Member]
1.30% notes due 2018 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
0.70% notes due 2016 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
$150 Million Notional Amount [Member]
5.00% Notes Due 2019 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
$200 Million Notional Amounts [Member]
5.00% Notes Due 2019 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
$200 Million Notional Amounts [Member]
6.00% Notes Due 2017 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
$250 Million Notional Amounts [Member]
6.00% Notes Due 2017 [Member]
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Dec. 31, 2013
Interest Rate Swap [Member]
$300 Million Notional Amount [Member]
6.00% Notes Due 2017 [Member]
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Dec. 31, 2013
$300 Million Notional Amount [Member]
6.00% Notes Due 2017 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
$250 Million Notional Amounts [Member]
6.00% Notes Due 2017 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
$200 Million Notional Amounts [Member]
5.00% Notes Due 2019 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
$200 Million Notional Amounts [Member]
6.00% Notes Due 2017 [Member]
Interest_Rate_Swap
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Dec. 31, 2013
Significant Other Observable Inputs (Level 2) [Member]
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Dec. 31, 2013
Significant Unobservable Inputs (Level 3) [Member]
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Dec. 31, 2012
Significant Unobservable Inputs (Level 3) [Member]
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| Derivative [Line Items] | |||||||||||||||||||||||||||||||||||||
| Maximum planning cycle of third-party sales hedges | 3 years | ||||||||||||||||||||||||||||||||||||
| Pretax gains (losses) from euro-denominated notes included in cumulative translation adjustments | $ (84,000,000) | $ (31,000,000) | $ 6,000,000 | ||||||||||||||||||||||||||||||||||
| Number of interest rate derivatives held | 15 | 0 | 3 | 4 | 4 | 4 | 1 | 1 | 2 | 2 | 1 | ||||||||||||||||||||||||||
| Derivative, notional amount | 29,909,000,000 | 26,556,000,000 | 250,000,000 | 250,000,000 | 150,000,000 | 200,000,000 | 200,000,000 | 250,000,000 | 300,000,000 | ||||||||||||||||||||||||||||
| Fixed-rate notes, stated interest rate | 0.70% | 0.70% | 1.30% | 1.30% | 5.00% | 6.00% | |||||||||||||||||||||||||||||||
| Cash received on termination of interest rate swaps | 288,000,000 | ||||||||||||||||||||||||||||||||||||
| Accrued interest received on termination of interest rate swaps | 43,000,000 | ||||||||||||||||||||||||||||||||||||
| Deferred basis adjustment of debt associated with terminated interest rate swap contracts | 245,000,000 | ||||||||||||||||||||||||||||||||||||
| Ineffectiveness on the hedged item | 2,000,000 | ||||||||||||||||||||||||||||||||||||
| Pre tax net unrealized loss on derivatives maturing within next 12 months estimated to be reclassified from AOCI to sales | (66,000,000) | ||||||||||||||||||||||||||||||||||||
| Available-for-sale debt securities included in Short-term investments | 1,900,000,000 | ||||||||||||||||||||||||||||||||||||
| Available-for-sale debt securities maturing after one year through five years | 8,800,000,000 | ||||||||||||||||||||||||||||||||||||
| Cash and cash equivalents | 15,621,000,000 | 13,451,000,000 | 13,531,000,000 | 10,900,000,000 | 15,600,000,000 | ||||||||||||||||||||||||||||||||
| Cash equivalents | 14,700,000,000 | ||||||||||||||||||||||||||||||||||||
| Business Combination, Contingent Consideration, Liability | 69,000,000 | 49,000,000 | |||||||||||||||||||||||||||||||||||
| Fair value of loans payable and long-term debt, including current portion | 25,500,000,000 | 22,800,000,000 | |||||||||||||||||||||||||||||||||||
| Carrying value of Loans payable and long-term debt, including current portion | 25,100,000,000 | 20,600,000,000 | |||||||||||||||||||||||||||||||||||
| Cash and cash equivalents invested in highly rated money market funds | 33.33% | ||||||||||||||||||||||||||||||||||||
| Number of highly rated money market funds | 5 | ||||||||||||||||||||||||||||||||||||
| Maximum average period of maturities of contracts in years | 1 year | ||||||||||||||||||||||||||||||||||||
| Noncurrent accounts receivable | 275,000,000 | 473,000,000 | |||||||||||||||||||||||||||||||||||
| Accounts receivable in Greece, Italy, Spain and Portugal | 900,000,000 | 600,000,000 | |||||||||||||||||||||||||||||||||||
| Percentage of total hospital and public sector accounts receivable in Greece, Italy, Spain and Portugal in the aggregate that relate to specified country | 9.00% | 41.00% | 40.00% | 10.00% | |||||||||||||||||||||||||||||||||
| Total accounts receivable outstanding in excess of one year | 200,000,000 | ||||||||||||||||||||||||||||||||||||
| Percentage of accounts receivable outstanding for more than one year that relate to Greece, Italy, Spain and Portugal | 50.00% | ||||||||||||||||||||||||||||||||||||
| Accounts receivable collected | 500,000,000 | ||||||||||||||||||||||||||||||||||||
| Receivables factored during period | 230,000,000 | 210,000,000 | |||||||||||||||||||||||||||||||||||
| Percentage of accounts receivable represented by customers with largest balances | 25.00% | ||||||||||||||||||||||||||||||||||||
| Cash collateral received from counterparties | $ 652,000,000 | $ 305,000,000 | |||||||||||||||||||||||||||||||||||