The Narrative Summary (NARSUM) does NOT opine on which aspect of a Soldier's medical condition?

• A. Fitness for duty
• B. Prognosis
• C. Treatment options
• D. Anticipated recovery time

Answer: (A)

The Narrative Summary is a physician-written record that conveys the medical facts about the condition, how it’s being treated, and what to expect going forward. It includes prognosis, the treatment options available, and the anticipated recovery timeline, all of which help guide decisions about ongoing care and any work-related restrictions. However, the actual determination of whether the Soldier is fit for duty is not something the NARSUM provides; that fitness decision comes from the Disability Evaluation System process and the PEB, which use the medical information in the NARSUM but do not rely on it to state a fitness verdict. So, while prognosis, treatment options, and anticipated recovery time are covered, the NARSUM does not opine on fitness for duty.