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An irreversible three-state illness-death model allows progression $1\to 2$ and death $1\to 3$ or $2\to 3$, with state 3 absorbing. A constant-rate transition intensity matrix uses three free rates $a,b,c$ and rows $(-(a+b),a,b)$, $(0,-c,c)$ and $(0,0,0)$. The labels can represent disease severity rather than literal health versus illness.

There are three free transition intensities: progression, death from the initial state, and death from the advanced state. In the three-state illness-death model, state 3 is an absorbing state, and there is no recovery transition.

Writing $a=q_{12}$, $b=q_{13}$ and $c=q_{23}$, with all three nonnegative, the transition intensity matrix isEach diagonal entry is minus the sum of the row's outgoing transition intensities, rather than an additional unknown parameter. A continuous-time multi-state model with these rates describes the severity labels in the observations; an explicit cured state would require a richer state space.