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Long-term Debt - Additional Information (Detail) - USD ($)
$ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Apr. 24, 2019
Mar. 31, 2019
Dec. 31, 2018
Debt Instrument [Line Items]      
Long-term debt, fair value   $ 16,700 $ 14,600
Committed credit facility agreement aggregated   6,500  
Unused credit facility   $ 3,800  
3.00% Senior Notes due 2020      
Debt Instrument [Line Items]      
Debt instrument interest rate   3.00% 3.00%
Debt instrument maturity date   2020 2020
4.00% Senior Notes due 2025      
Debt Instrument [Line Items]      
Debt instrument interest rate   4.00% 4.00%
Debt instrument maturity date   2025 2025
Subsequent Event      
Debt Instrument [Line Items]      
Debt instrument premium paid $ 48    
Subsequent Event | 3.90% Senior Notes due 2028      
Debt Instrument [Line Items]      
Notes, face amount $ 1,500    
Debt instrument interest rate 3.90%    
Debt instrument maturity date 2028    
Subsequent Event | 3.00% Senior Notes due 2020      
Debt Instrument [Line Items]      
Debt instrument, amount exchanged $ 401    
Debt instrument interest rate 3.00%    
Debt instrument maturity date 2020    
Subsequent Event | 3.63% Senior Notes due 2022      
Debt Instrument [Line Items]      
Debt instrument, amount exchanged $ 234    
Debt instrument interest rate 3.63%    
Debt instrument maturity date 2022    
Subsequent Event | 4.00% Senior Notes due 2025      
Debt Instrument [Line Items]      
Debt instrument, amount exchanged $ 817    
Debt instrument interest rate 4.00%    
Debt instrument maturity date 2025    
Commercial paper programs mature in February 2020      
Debt Instrument [Line Items]      
Committed credit facility agreement aggregated   $ 1,000  
Commercial paper programs mature in November 2020      
Debt Instrument [Line Items]      
Committed credit facility agreement aggregated   1,500  
Commercial paper programs mature in February 2023      
Debt Instrument [Line Items]      
Committed credit facility agreement aggregated   2,000  
Commercial paper programs mature in February 2024      
Debt Instrument [Line Items]      
Committed credit facility agreement aggregated   2,000  
Commercial paper borrowings      
Debt Instrument [Line Items]      
Long-term debt   $ 2,700 $ 2,400