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Summary of Stock Option Grants (Detail) - USD ($) $ / shares in Units, shares in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Stock options grant shares
Outstanding at beginning of year	16.6	18.9	21.5
Granted	2.0	2.7	4.0
Exercised	(3.6)	(4.5)	(5.6)
Forfeited/expired	(0.4)	(0.5)	(1.0)
Outstanding at end of year	14.6	16.6	18.9
Exercisable at end of year	9.2	10.0	11.3
Stock options grant weighted-average exercise price
Outstanding at beginning of year	$ 113.06	$ 101.55	$ 92.25
Granted	175.17	157.95	128.74
Exercised	97.70	89.31	81.77
Forfeited/expired	154.65	137.08	118.38
Outstanding at end of year	124.21	$ 113.06	$ 101.55
Exercisable at end of year	$ 107.51
Stock options grant Weighted-average remaining contractual life
Outstanding at end of year	5 years 10 months 24 days
Exercisable at end of year	4 years 8 months 12 days
Stock options grant aggregate intrinsic value
Outstanding at end of year	$ 1,074.6
Exercisable at end of year	$ 826.4

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Share-based Compensation Arrangement by Share-based Payment Award, Options, Aggregate Intrinsic Value [Abstract]

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Share-based Compensation Arrangement by Share-based Payment Award, Options, Weighted Average Exercise Price [Abstract]

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Share-based Compensation Arrangement by Share-based Payment Award, Options, Weighted Average Remaining Contractual Term [Abstract]

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The number of shares into which fully or partially vested stock options outstanding as of the balance sheet date can be currently converted under the option plan.

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The weighted-average price as of the balance sheet date at which grantees can acquire the shares reserved for issuance on vested portions of options outstanding and currently exercisable under the stock option plan.

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For presentations that combine terminations, the number of shares under options that were cancelled during the reporting period as a result of occurrence of a terminating event specified in contractual agreements pertaining to the stock option plan or that expired.

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Weighted average price of options that were either forfeited or expired.

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Net number of share options (or share units) granted during the period.

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Amount by which the current fair value of the underlying stock exceeds the exercise price of options outstanding.

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Number of options outstanding, including both vested and non-vested options.

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Weighted average price at which grantees can acquire the shares reserved for issuance under the stock option plan.

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Weighted average price at which option holders acquired shares when converting their stock options into shares.

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Weighted average per share amount at which grantees can acquire shares of common stock by exercise of options.

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Amount of difference between fair value of the underlying shares reserved for issuance and exercise price of vested portions of options outstanding and currently exercisable.

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Weighted average remaining contractual term for vested portions of options outstanding and currently exercisable or convertible, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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Weighted average remaining contractual term for option awards outstanding, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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Number of share options (or share units) exercised during the current period.

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