[{"_id":0,"idu":"AA0092","profileSpheres":[{"idq":"Q0780","ida":"A0780_002","value":null,"explain":null,"date":"2023-12-26T04:03:57.196Z"},{"idq":"Q0800","ida":"A0810_001","value":null,"explain":"encorvar la espalda mucho rato o usar mochilas pesadas ","date":"2023-12-26T04:04:37.679Z"},{"idq":"Q0810","ida":"A0810_002","value":null,"explain":null,"date":"2023-12-26T04:04:37.755Z"},{"idq":"Q0820","ida":"A0820_002","value":null,"explain":null,"date":"2023-12-26T04:04:40.411Z"}]}]

db.collection.update({"idu":"AA0092"},{"$set":{"profileSpheres.$[elem].ida":"A0800_001"},"arrayFilters":[{"elem.idq":"Q0800"},{"elem.ida":"A0810_001"}]})