Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true and destructiveHint=false, so the safety profile is covered. The description adds value by stating the result is bounded, cursor-paginated, and never includes clinical records, which is behavioral context beyond the schema. However, it doesn't describe what happens on empty results or if there are rate limits, but with annotations present, this is a solid contribution.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.