diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcNatServiceImpl.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcNatServiceImpl.java
index abb8f6184c..1b359b5624 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcNatServiceImpl.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcNatServiceImpl.java
@@ -478,6 +478,8 @@ public class IcNatServiceImpl extends BaseServiceImpl<IcNatDao, IcNatEntity> imp
     @Transactional(rollbackFor = Exception.class)
     public void persisNat(IcNatEntity e, String customerId, String currentUserId, IcNatExcelImportListener listener) {
         List<IcNatImportExcelData.RowRemarkMessage> otherRows = listener.getOtherRows();
+        String agencyPids = listener.getCurrentAgencyPids();
+        String agencyId = listener.getCurrentAgencyId();
 
         Date natTime = e.getNatTime();
         String idCard = e.getIdCard();
@@ -545,43 +547,50 @@ public class IcNatServiceImpl extends BaseServiceImpl<IcNatDao, IcNatEntity> imp
                 resiNat.setUpdatedBy(currentUserId);
                 resiNat.setUpdatedTime(new Date());
 
-                IcResiUserEntity resi = getResi(customerId, idCard);
+                IcResiUserEntity resi = getResi(customerId, idCard, null);
                 resiNat.setIsResiUser(resi != null ? "1" : "0");
                 resiNat.setUserId(resi != null ? resi.getId() : "");
 
                 baseDao.updateById(resiNat);
             }
 
-            // 还要创建关系
-            createNatRelation(resiNat.getId(), listener.getCurrentAgencyId(), listener.getCurrentAgencyPids());
+            // 还要创建关系。只有本辖区及下级居民，才建立关系
+            if (getResi(customerId, idCard, String.join(":", Arrays.asList(agencyPids, agencyId))) != null) {
+                createNatRelation(resiNat.getId(), listener.getCurrentAgencyId(), listener.getCurrentAgencyPids());
+            }
 
             return;
         }
 
         // 执行新增操作
-        IcResiUserEntity resi = getResi(customerId, idCard);
+        IcResiUserEntity resi = getResi(customerId, idCard, null);
         e.setIsResiUser(resi != null ? "1" : "0");
         e.setUserId(resi != null ? resi.getId() : "");
         e.setUserType("import");
 
         baseDao.insert(e);
 
-        // 还要创建关系
-        createNatRelation(e.getId(), listener.getCurrentAgencyId(), listener.getCurrentAgencyPids());
+        // 还要创建关系。只有本辖区及下级居民，才建立关系
+        if (getResi(customerId, idCard, String.join(":", Arrays.asList(agencyPids, agencyId))) != null) {
+            createNatRelation(e.getId(), listener.getCurrentAgencyId(), listener.getCurrentAgencyPids());
+        }
     }
 
     /**
-     * 是否是客户下的居民；
+     * 是否是指定条件下的居民；
      * 0：否
      * 1：是
      * @param customerId
      * @param idCard
      * @return
      */
-    public IcResiUserEntity getResi(String customerId, String idCard) {
+    public IcResiUserEntity getResi(String customerId, String idCard, String pids) {
         LambdaQueryWrapper<IcResiUserEntity> query = new LambdaQueryWrapper();
         query.eq(IcResiUserEntity::getCustomerId, customerId);
         query.eq(IcResiUserEntity::getIdCard, idCard);
+        if (StringUtils.isNotBlank(pids)) {
+            query.likeRight(IcResiUserEntity::getPids, pids);
+        }
         return icResiUserDao.selectOne(query);
     }
 
diff --git a/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.37__ic_epidemic_special_attention.sql b/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.37__ic_epidemic_special_attention.sql
new file mode 100644
index 0000000000..c16c75f965
--- /dev/null
+++ b/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.37__ic_epidemic_special_attention.sql
@@ -0,0 +1,21 @@
+CREATE TABLE `ic_epidemic_special_attention` (
+  `ID` varchar(64) NOT NULL COMMENT 'ID',
+  `CUSTOMER_ID` varchar(64) NOT NULL COMMENT '客户ID',
+  `ORG_ID` varchar(64) NOT NULL COMMENT '当前工作人员所属组织ID',
+  `PID` varchar(64) NOT NULL COMMENT '组织ID上级',
+  `PIDS` varchar(255) NOT NULL COMMENT '组织ID所有上级',
+  `IS_ATTENTION` tinyint(1) NOT NULL COMMENT '是否关注 1：关注，0：取消关注',
+  `ATTENTION_TYPE` tinyint(1) NOT NULL COMMENT '关注类型，核酸检测：2，疫苗接种：1，行程上报：0',
+  `NAME` varchar(64) NOT NULL COMMENT '姓名',
+  `MOBILE` varchar(11) NOT NULL COMMENT '手机号',
+  `ID_CARD` varchar(18) NOT NULL COMMENT '身份证号',
+  `REASON` varchar(1000) DEFAULT NULL COMMENT '原因',
+  `REMARK` varchar(1000) DEFAULT NULL COMMENT '备注',
+  `DEL_FLAG` int(11) NOT NULL,
+  `REVISION` int(11) NOT NULL COMMENT '乐观锁',
+  `CREATED_BY` varchar(32) NOT NULL COMMENT '创建人',
+  `CREATED_TIME` datetime NOT NULL COMMENT '创建时间',
+  `UPDATED_BY` varchar(32) NOT NULL COMMENT '更新人',
+  `UPDATED_TIME` datetime NOT NULL COMMENT '更新时间',
+  PRIMARY KEY (`ID`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='疫情特别关注';
\ No newline at end of file