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Stock-Based Compensation - Additional Information (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Millions
3 Months Ended 12 Months Ended
Mar. 31, 2018
Sep. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
May 31, 2009
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Number of shares available for grant     2,400      
Maximum contribution allowed under employee stock purchase plan as % of employee's earnings     15.00%      
Total number of shares purchased under employee stock purchase plan     1,400      
Plan period employee stock purchase plan, in months     3 months      
Purchase price calculation for shares of stock under employee stock purchase plan     The purchase price for each share of stock is the lesser of 90% of the market price on the first day of the plan period or 100% of the market price on the last day of the plan period.      
Incremental stock-based compensation cost due to acceleration of awards $ 1 $ 4 $ 1 $ 4 $ 7  
Total intrinsic value of options exercised in the period     44 76 53  
Proceeds from stock plans     45 $ 91 $ 56  
Intrinsic value of options outstanding     $ 86      
Number of options exercisable     794 900 1,300  
Weighted-average exercise price of exercisable options     $ 117.08 $ 103.63 $ 92.26  
Weighted-average remaining contractual term of options exercisable     5 years 9 months 18 days      
Number of options outstanding which are vested and expected to vest     1,800      
Aggregate intrinsic value of outstanding options which are vested and expect to vest     $ 86      
Weighted-average exercise price of outstanding options which are vested and expected to vest     $ 142.18      
Weighted-average remaining contractual term of outstanding options which are vested and expected to vest     7 years 1 month 6 days      
Unrecognized compensation costs on unvested options     $ 41      
Restricted Stock Units (RSUs) [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting period     5 years      
Stock-based compensation costs     $ 16 $ 17 $ 17  
Weighted-average period of recognition for unrecognized compensation costs on nonvested awards     3 years 2 months 12 days      
Shares granted     91      
Weighted-average grant date fair value of shares granted     $ 207.85      
Unvested shares at end of period     304 374    
Unrecognized compensation costs on unvested awards     $ 32      
Performance Stock Unit Plan [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock-based compensation costs     $ 5      
Weighted-average period of recognition for unrecognized compensation costs on nonvested awards     2 years 3 months 18 days      
Shares granted     40 40 27  
Weighted-average grant date fair value of shares granted     $ 235.63      
Unvested shares at end of period     100 64    
Unrecognized compensation costs on unvested awards     $ 14      
Stock-based compensation costs, less than $1 million       Less than $1 million    
Performance Stock Unit Plan [Member] | Minimum [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights     0.00%      
Performance Stock Unit Plan [Member] | Maximum [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights     200.00%      
Restricted Stock [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock-based compensation costs     $ 1 $ 1 $ 1  
Shares granted     5 8 10  
Weighted-average grant date fair value of shares granted     $ 194.73 $ 130.35 $ 113.88  
Unvested shares at end of period     5      
Employee Stock [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock-based compensation costs     $ 1 $ 1 $ 1  
Employee Stock [Member] | Employee Stock Purchase Plan Of 2009 [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Number of shares authorized under plan           900
Equity Option [Member]            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting period     5 years      
Award expiration period     10 years      
Weighted-average period of recognition for unrecognized compensation costs on nonvested awards     3 years 6 months