Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
There are no annotations, so the description carries the burden. It discloses that it lists patient IDs covered by the dataset, which implies a read-only operation. However, it doesn't detail sorting, deduplication, or pagination behavior, though the output schema may cover return format.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.