As far as I know, If you are transcribing the report and you see some personal health information about a person you know, the right thing to do is DO NOT TELL OR SPEAK about the details of the report to anyone (even to the person the report belongs to).
Let their primary care providers report the results to the person the report belongs to. If you do choose to report it, then it will be a HIPAA violation which could result in horrible things such as jailtime, fines, and on top of that the neighbor can file Breach of Privacy Lawsuits based on your state's law.
A), going over the speed limit is not only harmful to you but the people around you, so going the speed limit or driving at a speed under it will save countless lives.