It depends on whether you care about the status of postfix itself. For systems which are just running postfix as a replacement for /usr/bin/sendmail, then it's only being used for outbound deliveries - e.g. cron and error reports. In this instance, I suppose it could be interesting to measure the size of the queue, and count rejected mail - as you say, a textfile exporter would be straightforward. Alternatively, using the systemd collector of node_exporter may be good enough to check that the postfix service is running.
Personally I don't run MTAs on servers in general: I install ssmtp and point it to a local mail relay. Then there's nothing to monitor, apart from the central mail relay itself. This also scales better with containers - if you have 20 containers on one machine you don't want 20 MTAs running.