Confusion about 1:1 relationship

Question

I've been learning database design and I'm confused about 1:1 relationships. From what I understand, you can simply add columns to the appropriate table. Can someone provide a real world example of where a 1:1 relationship was either necessary or provided some significant benefit? I.e., where would I use a 1:1 relationship and what would it look like?

Answer 1

I'll give you a real practical example.

In the medical billing world, doctors who want to get paid by medicare handle billing by creating a dictation report for each visit with a patient. This might actually be a recorded audio dictation transcribed by a secretary, but more often it's just a written description of what they did and talked about with the patient, along with history, impressions, and so forth. A licensed medical coder will then read this dictation and decide what the doctor is allowed to bill.

Separate from the dictation, there is demographic information about the patient involved: name, age, billing address, etc. This information must be strictly separate from information about the dictation, to prevent coders from allowing bias to cloud their billing judgements or violating patients' privacy.

This data is often kept well-normalized with a 1:many relationship in the data systems at the point of origin, and only the right parts are displayed to the right people at the right times. However, a significant number of offices out-source their billing function to a third party. This way a small clinic, for example, doesn't have to keep a licensed medical coder on staff; one coder at the billing office can handle the needs of many clinics. When the data is sent from the clinic to the billing office, the patient demographic information and the dictations need to come over as separate pieces, possibly at separate times. At this point, they'll likely be stored in completely separate tables with a 1:1 relationship and a shared ID field to match them up later.

In this case, the 1:1 relationship has very little to do with the data model. You could probably match up the records at the time of import, and as a bill moves through the system eventually the provincial patient information received in the clinic's demographic record will be matched to a real person so the 1:many relationship can be restored. Otherwise you'd get a separate statement on a separate account for each visit to the doctor.

Instead, it has almost everything to do with the systems design. There are likely entirely different people building and using the billing part verses the coding part at our imaginary billing service. This way, each side can each have full control of it's own fiefdom, and you are sure that no one, not even a developer, is breaking any privacy rules.

Answer 2

True one-to-one relationships seldom occur in the real world. This type of relationship is often created to get around some limitation of the database management software rather than to model a real-world situation. In Microsoft Access, one-to-one relationships may be necessary in a database when you have to split a table into two or more tables because of security or performance concerns or because of the limit of 255 columns per table. For example, you might keep most patient information in tblPatient, but put especially sensitive information (e.g., patient name, social security number and address) in tblConfidential (see Figure 3). Access to the information in tblConfidential could be more restricted than for tblPatient. As a second example, perhaps you need to transfer only a portion of a large table to some other application on a regular basis. You can split the table into the transferred and the non-transferred pieces, and join them in a one-to-one relationship.

That's a quote from here: Fundamentals of Relational Database Design

And here's a similar question on SO.

Another reason I can see for using a 1:1 (where I have used it in the past) is if you have a table with a lot of columns, and only a few of them are involved in very intensive and frequent queries which need to be fast, I would break it into two tables that are related 1:1 where I could query the lightweight table and get good performance, but still have the other data related to it easily with a simple join.