Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint, idempotentHint, and destructiveHint. The description adds valuable context beyond them: the response is a legacy FHIR shape, the tool is a compatibility shim for prototypes, and the patient is always the same fixed fictional person. It does not detail behavior when categories are omitted, but the output schema covers the response shape.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.