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Equity - Accumulated Other Comprehensive Income/(Loss) (Net of Tax) (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance $ 17,359    
Ending Balance 14,707 $ 17,359  
Foreign Currency Translation Adjustments [Member]      
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance (1,316) (2,769) $ (2,384)
Other comprehensive income/(loss) before reclassifications (739) 1,075 (355)
Amounts reclassified to the statements of income   378 3
Net other comprehensive income/(loss) before tax (739) 1,453 (352)
Corresponding income tax     (33)
Net other comprehensive income/(loss) after tax (739) 1,453 (385)
Ending Balance (2,055) (1,316) (2,769)
Available-for-sale Securities [Member]      
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance (4) (7) 312
Cumulative effect of new accounting standard (See Note 1) 5    
Other comprehensive income/(loss) before reclassifications (1) 64 (456)
Amounts reclassified to the statements of income 1 (66) 140
Net other comprehensive income/(loss) before tax   (2) (316)
Corresponding income tax   5 (3)
Net other comprehensive income/(loss) after tax   3 (319)
Ending Balance 1 (4) (7)
Derivative Financial Instruments [Member]      
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance (442) (302) 175
Other comprehensive income/(loss) before reclassifications 87 (167) (491)
Amounts reclassified to the statements of income 28 27 14
Net other comprehensive income/(loss) before tax 115 (140) (477)
Net other comprehensive income/(loss) after tax 115 (140) (477)
Ending Balance (327) (442) (302)
Benefit Plans [Member]      
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance (91) (81) (58)
Other comprehensive income/(loss) before reclassifications 4 (3) (26)
Amounts reclassified to the statements of income 13 (5) (6)
Net other comprehensive income/(loss) before tax 17 (8) (32)
Corresponding income tax (4) (2) 9
Net other comprehensive income/(loss) after tax 13 (10) (23)
Ending Balance (78) (91) (81)
AOCI Attributable to Parent [Member]      
Accumulated Other Comprehensive Income (Loss) [Line Items]      
Beginning Balance (1,853) (3,159) (1,955)
Cumulative effect of new accounting standard (See Note 1) 5    
Other comprehensive income/(loss) before reclassifications (649) 969 (1,328)
Amounts reclassified to the statements of income 42 334 151
Net other comprehensive income/(loss) before tax (607) 1,303 (1,177)
Corresponding income tax (4) 3 (27)
Net other comprehensive income/(loss) after tax (611) 1,306 (1,204)
Ending Balance $ (2,459) $ (1,853) $ (3,159)