Use an irreversible continuous-time multi-state model , with state 3 absorbing. Let and , and define log-linear age effects by
For a closed-form panel-observed multi-state likelihood, freeze the age covariate at the start of each observation interval. The transition intensities are then over the first interval and over the second. Conditional on the initial state, the likelihood contribution is
Indeed, and . In this irreversible continuous-time Markov chain, the intermediate state has probability
The second expression is the continuous limit of the first and handles equal rates. The observed two-state jump across an interval is compatible with adjacent instantaneous transitions: an unobserved visit to state 2 occurs between the examinations.

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