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Revenues - Additional Information (Detail)
€ in Millions, $ in Millions
9 Months Ended
Sep. 30, 2019
EUR (€)
Sep. 30, 2019
USD ($)
Dec. 31, 2018
USD ($)
Revenue From Contract With Customer [Line Items]      
Transaction price allocated to remaining performance obligations   $ 9,000  
Net trade accounts receivable   1,700 $ 1,800
Contract assets   109 80
Accounts and Other Receivables, Net      
Revenue From Contract With Customer [Line Items]      
Contract assets   63 50
Other Non Current Assets      
Revenue From Contract With Customer [Line Items]      
Contract assets   46 30
Manufacturing Arrangements      
Revenue From Contract With Customer [Line Items]      
Contract assets   31 33
Software Arrangements      
Revenue From Contract With Customer [Line Items]      
Contract assets   39 $ 47
Bundled Equipment      
Revenue From Contract With Customer [Line Items]      
Contract assets | € € 39    
Consumable Medical Products      
Revenue From Contract With Customer [Line Items]      
Contract assets   $ 12  
Minimum      
Revenue From Contract With Customer [Line Items]      
Global payment terms 30 days    
Minimum | Software Arrangements      
Revenue From Contract With Customer [Line Items]      
Revenue recognized contract period 1 year    
Minimum | Consumable Medical Products      
Revenue From Contract With Customer [Line Items]      
Revenue recognized contract period 1 year    
Maximum      
Revenue From Contract With Customer [Line Items]      
Global payment terms 90 days    
Maximum | Manufacturing Arrangements      
Revenue From Contract With Customer [Line Items]      
Revenue recognized contract period 90 days    
Maximum | Software Arrangements      
Revenue From Contract With Customer [Line Items]      
Revenue recognized contract period 5 years    
Maximum | Consumable Medical Products      
Revenue From Contract With Customer [Line Items]      
Revenue recognized contract period 7 years