The Philippians are an island nation located in South-East Asia and are the world's 5th largest island nation. They were colonized by the Spanish and then by the United States after the latter defeated the former in the Spanish-American War of 1898.
This meant that Filipinos were influenced to some degree, by the Spanish and the Americans and so have certain practices that are influenced by the two foreign cultures.
Art production in the Philippians however, is not one of these. The Filipinos were influenced by their geographical location and experiences which makes this an Ethnic tradition.
The requirement of HIPPA is that clear communication should be done in a health care environment and should be between the individual in a daily basis either through a verbal as well as non verbal like the written communication and documentation.