Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already establish read-only, idempotent, and non-destructive behavior; the description adds valuable behavioral context by disclosing UTC-day grouping, the 31-day range cap, and the strict exclusion of patient or clinical data. 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.