Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already provide readOnlyHint=true, idempotentHint=true, and destructiveHint=false; the description adds meaningful behavioral constraints by stating that identifiers, references, titles, notes, linkage, and clinical fields are never returned. The word 'bounded' further hints at pagination behavior. No contradiction with annotations exists.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.