Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint, idempotentHint and openWorldHint, so the safety profile is covered. The description adds real value beyond that: it discloses that criteria are returned in 'original wording' and, critically, that 'Eligibility is confirmed only by the study team' — a caveat that prevents the agent from presenting registry criteria as an eligibility decision.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.