Yeah pretty much, although ids can still be a little better. The big problem for us is that we need the security of UUIDs not leaking information and so v7 isn't appropriate.
We do use a custom uuid generator that uses the timestamp as a prefix that rotates on a medium term scale. That ensures we get some degree of clustering for records based on insertion time, but you can't go backwards to figure out the actual time. It's still a problem when backfilling and is more about helping with live reads.