diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/validation/InstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/validation/InstanceValidator.java
index 3eb2a573a7a..fc398e51d6a 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/validation/InstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/validation/InstanceValidator.java
@@ -2761,7 +2761,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
           if (qItem != null) {
             rule(errors, IssueType.STRUCTURE, item.line(), item.col(), stack.getLiteralPath(), index > -1, "Structural Error: item is in the wrong place");
             NodeStack ns = stack.push(item, -1, null, null);
-            validateQuestionannaireResponseItem(qsrc, qItem, errors, element, ns, inProgress, null);
+            validateQuestionannaireResponseItem(qsrc, qItem, errors, item, ns, inProgress, questionnaireResponseRoot);
           }
           else
             rule(errors, IssueType.NOTFOUND, item.line(), item.col(), stack.getLiteralPath(), index > -1, "LinkId \""+linkId+"\" not found in questionnaire");
diff --git a/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/QuestionnaireResponseValidatorDstu3Test.java b/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/QuestionnaireResponseValidatorDstu3Test.java
index 19da2589618..b4555b6bd5d 100644
--- a/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/QuestionnaireResponseValidatorDstu3Test.java
+++ b/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/QuestionnaireResponseValidatorDstu3Test.java
@@ -399,7 +399,28 @@ public class QuestionnaireResponseValidatorDstu3Test {
 		
 		String reference = qr.getQuestionnaire().getReference();
 		when(myValSupport.fetchResource(any(FhirContext.class), eq(Questionnaire.class), eq(reference))).thenReturn(q);
+		
 		ValidationResult errors = myVal.validateWithResult(qr);
+		
+		assertThat(errors.toString(), Matchers.not(containsString("No issues")));
+	}
+	
+	@Test
+	public void testGivenQuestionnaireResponseHasSiblingItemsWhenTheyShouldBeChildItems() throws Exception {
+		Questionnaire q = new Questionnaire();
+		QuestionnaireItemComponent item = q.addItem().setLinkId("link0").setRequired(true).setType(QuestionnaireItemType.GROUP);
+		item.addItem().setLinkId("link1").setRequired(true).setType(QuestionnaireItemType.STRING);
+		
+		QuestionnaireResponse qr = new QuestionnaireResponse();
+		qr.setStatus(QuestionnaireResponseStatus.COMPLETED);
+		qr.getQuestionnaire().setReference("http://example.com/Questionnaire/q1");
+		qr.addItem().setLinkId("link0").setText("Text");
+		qr.addItem().setLinkId("link1").addAnswer().setValue(new StringType("Answer"));
+		String reference = qr.getQuestionnaire().getReference();
+		when(myValSupport.fetchResource(any(FhirContext.class), eq(Questionnaire.class), eq(reference))).thenReturn(q);
+		
+		ValidationResult errors = myVal.validateWithResult(qr);
+		
 		assertThat(errors.toString(), Matchers.not(containsString("No issues")));
 	}