Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
An output schema exists so return values needn't be explained, and the description compensates with threshold semantics, data limitations, and cost. The reference to alert_threshold_bp, which is not a parameter, introduces mild ambiguity about whether that threshold is configurable, keeping it just short of 5.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.