Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
With no annotations, the description carries the full burden of behavioral disclosure. It only lists return fields and omits any mention of authentication requirements, session context, error behavior, or side effects. For a zero-parameter tool, it is especially important to explain how the patient is determined.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.