Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given no output schema and sparse description, the tool definition is incomplete. The agent cannot infer what the response contains (e.g., list of observations, fields), how parameters interact (e.g., if both visit and encounter are provided), or error conditions. This is insufficient for reliable invocation.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.