Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true and idempotentHint=true, covering the safety profile. The description adds that results appear in 'items' and contain the full text plus referenced ICD-, OPS-, and DRG codes, which is helpful context, though it does not disclose additional behavioral traits such as sorting or error behavior.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.