The <prefix> element.
<prefix>
Values for the prefix element include plus and the accidental values sharp, flat, natural, double-sharp, flat-flat, and sharp-sharp. The prefix element may contain additional values for symbols specific to particular figured bass styles.
https://www.w3.org/2021/06/musicxml40/musicxml-reference/elements/prefix/
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The
<prefix>element.Values for the prefix element include plus and the accidental values sharp, flat, natural, double-sharp, flat-flat, and sharp-sharp. The prefix element may contain additional values for symbols specific to particular figured bass styles.
See
https://www.w3.org/2021/06/musicxml40/musicxml-reference/elements/prefix/