Assuming the supply air for the system in the technical room is not "far" from the outdoor unit of the air-water heat pump, does the noise then come "into the house"?
No, we have the fresh air intake above the outdoor unit of the heat pump. There are no problems. In the main air duct, behind the central unit, there is a silencer, so that nothing can be heard at the respective supply air outlets in the rooms (to our ears). I find the central unit itself loud, but outside the utility room it is not perceptible (we have a soundproof door with a drop seal, I don't know how it would be without).