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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Detail) shares in Millions |  | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | --- | ---
Jan. 01, 2018 USD ($) | Feb. 26, 2019 | Jan. 31, 2019 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2018 USD ($) Segment Plan shares | Dec. 31, 2017 USD ($) shares | Dec. 31, 2016 USD ($) shares
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Foreign currency transaction net gain (loss) |  |  |  |  | $ (3,000,000) | $ (1,000,000) | $ (4,000,000)
Cash equivalents description |  |  |  |  | Cash equivalents represent highly liquid investments, with original maturities of 90 days or less, primarily in bank deposits, U.S. treasury bill money market funds and commercial paper. |  |
Cash, cash equivalents and investments |  |  |  |  | $ 1,735,000,000 | $ 3,394,000,000 |
Allowance for doubtful accounts description |  |  |  |  | Past due balances over 90 days and over a specified amount are reviewed individually for collectibility. |  |
Number of reporting units for goodwill impairment testing | Segment |  |  |  |  | 2 |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 7 years | 7 years |
Additions to capitalized software development costs for software sold to customers |  |  |  |  | $ 34,000,000 | $ 35,000,000 |
Capitalized software development costs for software sold to customers, net |  |  |  |  | 147,000,000 | 153,000,000 |
Property, plant and equipment, net |  |  |  |  | 343,083,000 | 349,278,000 | 337,118,000
Investments in unaffiliated companies |  |  |  |  | 7,615,000 | 7,000,000 |
Proceeds from sale of equity method investment |  |  |  |  |  |  | 4,000,000
Contingent consideration |  |  |  |  | 2,476,000 | 3,247,000 |
Long-term debt |  |  |  |  | $ 1,148,172,000 | 1,897,501,000 |
Foreign currency exposure |  |  |  |  | The Company is a global company that operates in over 35 countries and, as a result, the Company's net sales, cost of sales, operating expenses and balance sheet amounts are significantly impacted by fluctuations in foreign currency exchange rates. |  |
Maturity period of foreign exchange contracts |  |  |  |  | The Company periodically aggregates its net worldwide balances by currency and then enters into foreign currency exchange contracts that mature within 90 days to hedge a portion of the remaining balance to minimize some of the Company's currency price risk exposure. The foreign currency exchange contracts are not designated for hedge accounting treatment. |  |
Treasury stock |  |  |  |  | $ 1,338,111,000 | 332,544,000 | 325,759,000
Advertising expense |  |  |  |  | 7,000,000 | 6,000,000 | $ 11,000,000
Acquired in-process research and development |  |  |  | $ 5,000,000 |  | $ 5,000,000 |
Potential payments under licensing arrangements |  |  |  |  | $ 7,000,000 |  |
Number of stock-based compensation plans | Plan |  |  |  |  | 2 |  |
Customer Concentration [Member] | Pharmaceutical [Member] | Net Sales [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Concentration percentage |  |  |  |  | 56.00% | 56.00% | 56.00%
Non-US [Member] | Geographic Concentration [Member] | Net Sales [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Concentration percentage |  |  |  |  | 72.00% | 71.00% | 69.00%
Accounting Standards Update 2016-16 [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Retained earnings | $ 4,000,000 |  |  |  |  |  |
Estimated Impact of ASU 2016-02 [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Right-of-use lease asset |  |  |  |  | $ 97,000,000 |  |
Lease liability |  |  |  |  | 97,000,000 |  |
Treasury Stock [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Treasury stock |  |  |  |  | 1,338,111,000 | $ 332,544,000 | $ 325,759,000
Accrued liabilities as a result of treasury stock purchases |  |  |  |  | $ 23,000,000 |  |
Global Intangible Low-Taxed Income [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
New provision taxes of off-shore earnings rate |  |  |  |  | 10.50% |  |
Cross Currency Interest Rate Contract [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Term of derivative agreement |  |  |  |  | 3 years |  |
Notional value, derivative asset |  |  |  |  | $ 300,000,000 |  |
Held In Currencies Other Than Us Dollars [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Cash, cash equivalents and investments |  |  |  |  | $ 251,000,000 | 304,000,000 |
Internal-Use Software [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 10 years |  |
Property, plant and equipment, net |  |  |  |  | $ 2,000,000 | 3,000,000 |
Unsecured Debt [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Long-term debt |  |  |  |  | $ 560,000,000 | 700,000,000 |
Interest payable on the senior unsecured notes |  |  |  |  | These senior unsecured notes require that the Company comply with an interest coverage ratio test of not less than 3.50:1 for any period of four consecutive fiscal quarters and a leverage ratio test of not more than 3.50:1 as of the end of any fiscal quarter. In addition, these senior unsecured notes include customary negative covenants, affirmative covenants, representations and warranties and events of default. |  |
Unsecured Debt [Member] | Fixed Interest Rate [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Long-term debt |  |  |  |  | $ 510,000,000 | 610,000,000 |
Fair value of fixed interest rate debt |  |  |  |  | $ 502,000,000 | $ 608,000,000 |
January 2019 Program [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Stock repurchase program period |  |  | 2 years |  |  |  |
Programs Authorized by Board of Directors [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Treasury stock shares acquired | shares |  |  |  |  | 6.8 | 1.8 | 2.3
Treasury stock |  |  |  |  | $ 1,329,000,000 | $ 323,000,000 | $ 318,000,000
Related to Vesting of Restricted Stock Units [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Treasury stock |  |  |  |  | 10,000,000 | 10,000,000 | $ 8,000,000
April 2018 Program [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Stock repurchase program authorization amount |  |  |  |  | 3,000,000,000 |  |
Fair Value, Measurements, Recurring [Member] | Significant Unobservable Inputs (Level 3) [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Contingent consideration |  |  |  |  | $ 2,476,000 | $ 3,247,000 |
Subsequent Event [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Percentage of workforce reduction |  |  | 1.00% |  |  |  |
Severance and related costs |  |  | $ 15,000,000 |  |  |  |
Subsequent Event [Member] | Senior Notes [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Interest payable on the senior unsecured notes |  | In February 2019, certain defined terms related to the subsidiary guarantors were amended in the Company's credit agreement and senior unsecured note agreements. In addition, the Company amended the senior unsecured note agreements to allow the Company to elect an increase in the permitted leverage ratio from 3.501 to 4.01, for a period of three consecutive quarters, for a material acquisition of $400 million or more. During the period of time where the leverage ratio exceeds 3.501, the interest payable on the senior unsecured notes shall increase by 0.50%. The debt covenants in the senior unsecured note agreements were also modified to address the change in accounting guidance for leases. |  |  |  |  |
Subsequent Event [Member] | January 2019 Program [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Stock repurchase program authorization amount |  |  | $ 4,000,000,000 |  |  |  |
Maximum [Member] | Customer Concentration [Member] | Individual Customers [Member] | Net Sales [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Concentration percentage |  |  |  |  | 2.00% | 2.00% | 2.00%
Maximum [Member] | Purchased Intangibles [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 15 years |  |
Maximum [Member] | Patents and Other Intangibles [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 10 years |  |
Maximum [Member] | Software Development [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 10 years |  |
Maximum [Member] | Building [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 30 years |  |
Maximum [Member] | Building Improvements [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 10 years |  |
Maximum [Member] | Production and Other Equipment [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 10 years |  |
Minimum [Member] | Purchased Intangibles [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 1 year |  |
Minimum [Member] | Patents and Other Intangibles [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 1 year |  |
Minimum [Member] | Software Development [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets, average useful life in years |  |  |  |  | 3 years |  |
Minimum [Member] | Building [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 15 years |  |
Minimum [Member] | Building Improvements [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 5 years |  |
Minimum [Member] | Production and Other Equipment [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Useful life of property, plant and equipment |  |  |  |  | 3 years |  |
Held By Foreign Subsidiaries [Member] |  |  |  |  |  |  |
Basis of Presentation and Summary of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Cash, cash equivalents and investments |  |  |  |  | $ 471,000,000 | $ 3,326,000,000 |

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