The degree-alter type represents the chromatic alteration for the current degree. If the degree-type value is alter or subtract, the degree-alter value is relative to the degree already in the chord based on its kind element. If the degree-type value is add, the degree-alter is relative to a dominant chord (major and perfect intervals except for a minor seventh). The plus-minus attribute is used to indicate if plus and minus symbols should be used instead of sharp and flat symbols to display the degree alteration; it is no by default.
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