Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnly, idempotent, non-destructive, closed-world behavior, so the safety profile is covered. The description adds value by scoping exactly what content is returned, but says nothing about behavior when clinic_id is omitted (site context) or when an id is invalid/unknown.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.