Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnly, idempotent, and non-destructive hints, so the safety profile is covered. The description adds meaningful behavioral context beyond that: UTC-day grouping, a 31-day range cap, and a strong confidentiality boundary that no clinical data or identifiable appointment details are ever returned. There is no contradiction with annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.