D010 多来源临床事实合并

合并已经完成规范处理的临床事实，记录互补、冲突、替代与状态变化关系，同时保留每项事实的来源。

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开始使用

下载前阅读 SKILL.md 中的使用条件，并确认所用工具支持对应能力。

输入资料: All four manifests must belong to the same package_id: D006 context_resolution_manifest.json D007 measurement_normalization_manifest.json D008 medication_normalization_manifest.json D009 problem_reconciliation_manifest.j… 阅读本节完整说明

使用提示摘自原文，配套文件保留来源版本；实际运行条件以各包说明为准。

正文

references/merge-contract.md

D010 consumes finalized D006, D007, D008 and D009 outputs from the same package.

It produces CanonicalClinicalFact objects. Every upstream fact must remain traceable through source_fact_ids and provenance.

Hard invariants:

No cross-patient merge.
No cross-fact-type merge.
Conflict is never silently collapsed.
Medication state transitions are not merged into a single event.
A D009 problem is the condition-level canonical object; D010 does not redo diagnosis synonym inference.
Terminology remains pending_d012.
Event-time resolution remains pending_d011.
Every upstream fact is either represented in a final canonical fact or explicitly documented as excluded upstream; D010 itself does not drop facts.