Someone at the hospital in US would certainly be aware of it for two reasons: 1) It takes a significant amount of work to format and standardize this data 2)

Someone at the hospital in US would certainly be aware of it for two reasons: 1) It takes a significant amount of work to format and standardize this data 2) Sharing this data is a business model for hospitals, it's a means of income for hospitals in this day and age. It's not unheard of that a pharma company will pay up double-digit million dollars for this data. It is thus unlikely that top brass for a hospital network is ignorant of the nature of this data and with whom it is being shared.