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Segment Data - Financial Information for Company's Segments (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2015
Segment Reporting Information [Line Items]                      
Revenues $ 3,166 $ 3,035 $ 2,969 $ 2,922 $ 3,231 $ 3,198 $ 3,067 $ 2,986 $ 12,093 $ 12,483 $ 10,282
Income Before Income Taxes                 976 1,074 739
Acquisitions and other restructurings                 354 728 426
Total Assets 37,734       25,586       37,734 25,586 26,478
Total Capital Expenditures                 727 693 596
Total Depreciation and Amortization                 1,088 1,114 891
Operating Segments                      
Segment Reporting Information [Line Items]                      
Income Before Income Taxes                 2,927 2,845 2,368
Total Assets 22,388       23,002       22,388 23,002 23,987
Operating Segments | Medical                      
Segment Reporting Information [Line Items]                      
Revenues                 8,105 8,654 6,460
Income Before Income Taxes                 2,155 2,052 1,530
Total Assets 18,332       19,154       18,332 19,154 20,055
Total Capital Expenditures                 502 482 414
Total Depreciation and Amortization                 825 857 619
Operating Segments | Life Sciences                      
Segment Reporting Information [Line Items]                      
Revenues                 3,988 3,829 3,822
Income Before Income Taxes                 772 793 839
Total Assets 4,056       3,848       4,056 3,848 3,932
Total Capital Expenditures                 212 200 168
Total Depreciation and Amortization                 254 254 256
Segment Reconciling Items                      
Segment Reporting Information [Line Items]                      
Acquisitions and other restructurings                 354 728 426
Net interest expense                 (445) (367) (356)
Corporate and All Other                      
Segment Reporting Information [Line Items]                      
Income Before Income Taxes                 (1,152) (676) (847)
Total Assets $ 15,347       $ 2,584       15,347 2,584 2,491
Total Capital Expenditures                 13 12 14
Total Depreciation and Amortization                 $ 10 $ 3 $ 17