<accidental>

<note default-x="83">
   <pitch>
      <step>A</step>
      <alter>1</alter>
      <octave>4</octave>
   </pitch>
   <duration>2</duration>
   <voice>1</voice>
   <type>quarter</type>
   <accidental>sharp</accidental>
   <stem default-y="10">up</stem>
</note>