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Segment Data - Financial Information for Company's Segments (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Mar. 31, 2013
Mar. 31, 2012
Segment Reporting Information [Line Items]        
Revenues $ 2,000,375 $ 1,928,961 $ 3,900,567 $ 3,760,681
Total Segment Operating Income 507,096 514,570 1,030,329 994,825
Unallocated Items (146,625) (145,045) (304,162) (302,858)
Income From Continuing Operations Before Income Taxes 360,471 369,525 726,167 691,967
Medical [Member]
       
Segment Reporting Information [Line Items]        
Revenues 1,062,071 1,021,187 2,045,444 1,971,584
Total Segment Operating Income 290,790 285,251 578,972 538,986
Diagnostics [Member]
       
Segment Reporting Information [Line Items]        
Revenues 658,940 630,019 1,310,865 1,250,762
Total Segment Operating Income 144,903 158,052 314,912 323,416
Biosciences [Member]
       
Segment Reporting Information [Line Items]        
Revenues 279,364 277,755 544,258 538,335
Total Segment Operating Income $ 71,403 $ 71,267 $ 136,445 $ 132,423