MySQL Cannot Add Foreign Key Constraint

So I'm trying to add Foreign Key constraints to my database as a project requirement and it worked the first time or two on different tables, but I have two tables on which I get an error when trying to add the Foreign Key Constraints. The error message that I get is:

ERROR 1215 (HY000): Cannot add foreign key constraint

This is the SQL I'm using to create the tables, the two offending tables are Patient and Appointment.

SET @OLD_UNIQUE_CHECKS=@@UNIQUE_CHECKS, UNIQUE_CHECKS=0;
SET @OLD_FOREIGN_KEY_CHECKS=@@FOREIGN_KEY_CHECKS, FOREIGN_KEY_CHECKS=1;
SET @OLD_SQL_MODE=@@SQL_MODE, SQL_MODE='TRADITIONAL,ALLOW_INVALID_DATES';

CREATE SCHEMA IF NOT EXISTS `doctorsoffice` DEFAULT CHARACTER SET utf8 ;
USE `doctorsoffice` ;

-- -----------------------------------------------------
-- Table `doctorsoffice`.`doctor`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`doctor` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`doctor` (
  `DoctorID` INT(11) NOT NULL AUTO_INCREMENT ,
  `FName` VARCHAR(20) NULL DEFAULT NULL ,
  `LName` VARCHAR(20) NULL DEFAULT NULL ,
  `Gender` VARCHAR(1) NULL DEFAULT NULL ,
  `Specialty` VARCHAR(40) NOT NULL DEFAULT 'General Practitioner' ,
  UNIQUE INDEX `DoctorID` (`DoctorID` ASC) ,
  PRIMARY KEY (`DoctorID`) )
ENGINE = InnoDB
DEFAULT CHARACTER SET = utf8;


-- -----------------------------------------------------
-- Table `doctorsoffice`.`medicalhistory`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`medicalhistory` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`medicalhistory` (
  `MedicalHistoryID` INT(11) NOT NULL AUTO_INCREMENT ,
  `Allergies` TEXT NULL DEFAULT NULL ,
  `Medications` TEXT NULL DEFAULT NULL ,
  `ExistingConditions` TEXT NULL DEFAULT NULL ,
  `Misc` TEXT NULL DEFAULT NULL ,
  UNIQUE INDEX `MedicalHistoryID` (`MedicalHistoryID` ASC) ,
  PRIMARY KEY (`MedicalHistoryID`) )
ENGINE = InnoDB
DEFAULT CHARACTER SET = utf8;


-- -----------------------------------------------------
-- Table `doctorsoffice`.`Patient`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`Patient` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`Patient` (
  `PatientID` INT unsigned NOT NULL AUTO_INCREMENT ,
  `FName` VARCHAR(30) NULL ,
  `LName` VARCHAR(45) NULL ,
  `Gender` CHAR NULL ,
  `DOB` DATE NULL ,
  `SSN` DOUBLE NULL ,
  `MedicalHistory` smallint(5) unsigned NOT NULL,
  `PrimaryPhysician` smallint(5) unsigned NOT NULL,
  PRIMARY KEY (`PatientID`) ,
  UNIQUE INDEX `PatientID_UNIQUE` (`PatientID` ASC) ,
  CONSTRAINT `FK_MedicalHistory`
    FOREIGN KEY (`MEdicalHistory` )
    REFERENCES `doctorsoffice`.`medicalhistory` (`MedicalHistoryID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE,
  CONSTRAINT `FK_PrimaryPhysician`
    FOREIGN KEY (`PrimaryPhysician` )
    REFERENCES `doctorsoffice`.`doctor` (`DoctorID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE)
ENGINE = InnoDB;


-- -----------------------------------------------------
-- Table `doctorsoffice`.`Appointment`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`Appointment` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`Appointment` (
  `AppointmentID` smallint(5) unsigned NOT NULL AUTO_INCREMENT ,
  `Date` DATE NULL ,
  `Time` TIME NULL ,
  `Patient` smallint(5) unsigned NOT NULL,
  `Doctor` smallint(5) unsigned NOT NULL,
  PRIMARY KEY (`AppointmentID`) ,
  UNIQUE INDEX `AppointmentID_UNIQUE` (`AppointmentID` ASC) ,
  CONSTRAINT `FK_Patient`
    FOREIGN KEY (`Patient` )
    REFERENCES `doctorsoffice`.`Patient` (`PatientID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE,
  CONSTRAINT `FK_Doctor`
    FOREIGN KEY (`Doctor` )
    REFERENCES `doctorsoffice`.`doctor` (`DoctorID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE)
ENGINE = InnoDB;


-- -----------------------------------------------------
-- Table `doctorsoffice`.`InsuranceCompany`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`InsuranceCompany` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`InsuranceCompany` (
  `InsuranceID` smallint(5) NOT NULL AUTO_INCREMENT ,
  `Name` VARCHAR(50) NULL ,
  `Phone` DOUBLE NULL ,
  PRIMARY KEY (`InsuranceID`) ,
  UNIQUE INDEX `InsuranceID_UNIQUE` (`InsuranceID` ASC) )
ENGINE = InnoDB;


-- -----------------------------------------------------
-- Table `doctorsoffice`.`PatientInsurance`
-- -----------------------------------------------------
DROP TABLE IF EXISTS `doctorsoffice`.`PatientInsurance` ;

CREATE  TABLE IF NOT EXISTS `doctorsoffice`.`PatientInsurance` (
  `PolicyHolder` smallint(5) NOT NULL ,
  `InsuranceCompany` smallint(5) NOT NULL ,
  `CoPay` INT NOT NULL DEFAULT 5 ,
  `PolicyNumber` smallint(5) NOT NULL AUTO_INCREMENT ,
  PRIMARY KEY (`PolicyNumber`) ,
  UNIQUE INDEX `PolicyNumber_UNIQUE` (`PolicyNumber` ASC) ,
  CONSTRAINT `FK_PolicyHolder`
    FOREIGN KEY (`PolicyHolder` )
    REFERENCES `doctorsoffice`.`Patient` (`PatientID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE,
  CONSTRAINT `FK_InsuranceCompany`
    FOREIGN KEY (`InsuranceCompany` )
    REFERENCES `doctorsoffice`.`InsuranceCompany` (`InsuranceID` )
    ON DELETE CASCADE
    ON UPDATE CASCADE)
ENGINE = InnoDB;

USE `doctorsoffice` ;


SET SQL_MODE=@OLD_SQL_MODE;
SET FOREIGN_KEY_CHECKS=@OLD_FOREIGN_KEY_CHECKS;
SET UNIQUE_CHECKS=@OLD_UNIQUE_CHECKS;

To find the specific error run this:

SHOW ENGINE INNODB STATUS;

And look in the LATEST FOREIGN KEY ERROR section.

The data type for the child column must match the parent column exactly. For example, since medicalhistory.MedicalHistoryID is an INT, Patient.MedicalHistory also needs to be an INT, not a SMALLINT.

Also, you should run the query set foreign_key_checks=0 before running the DDL so you can create the tables in an arbitrary order rather than needing to create all parent tables before the relevant child tables.


I had set one field as "Unsigned" and other one not. Once I set both columns to Unsigned it worked.


  • Engine should be the same e.g. InnoDB
  • Datatype should be the same, and with same length. e.g. VARCHAR(20)
  • Collation Columns charset should be the same. e.g. utf8
    Watchout: Even if your tables have same Collation, columns still could have different one.
  • Unique - Foreign key should refer to field that is unique (usually primary key) in the reference table.

Try to use the same type of your primary keys - int(11) - on the foreign keys - smallint(5) - as well.

Hope it helps!