diff --git a/ocaml/libs/uuid/dune b/ocaml/libs/uuid/dune
index 5f7c5c25b95..b907ee5e9d5 100644
--- a/ocaml/libs/uuid/dune
+++ b/ocaml/libs/uuid/dune
@@ -3,7 +3,12 @@
   (public_name uuid)
   (modules uuidx)
   (libraries
-    unix (re_export uuidm)
+    mtime
+    mtime.clock.os
+    ptime
+    ptime.clock.os
+    unix
+    (re_export uuidm)
   )
   (wrapped false)
 )
@@ -12,5 +17,5 @@
   (name uuid_test)
   (package uuid)
   (modules uuid_test)
-  (libraries alcotest fmt uuid)
+  (libraries alcotest fmt ptime uuid)
   )
diff --git a/ocaml/libs/uuid/uuid_test.ml b/ocaml/libs/uuid/uuid_test.ml
index dbaf294545f..69db7a58bef 100644
--- a/ocaml/libs/uuid/uuid_test.ml
+++ b/ocaml/libs/uuid/uuid_test.ml
@@ -25,6 +25,67 @@ let uuid_arrays =
 let non_uuid_arrays =
   [[|0|]; [|0; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12; 13; 14|]]
 
+let uuid_v4_cases =
+  [
+    ((0L, 0L), "00000000-0000-4000-8000-000000000000")
+  ; ((-1L, -1L), "ffffffff-ffff-4fff-bfff-ffffffffffff")
+  ; ((0x89ab_cdefL, 0x0123_4567L), "00000000-89ab-4def-8000-000001234567")
+  ]
+
+let uuid_v7_times =
+  let of_ms ms = Ptime.Span.of_float_s (ms /. 1000.0) |> Option.get in
+  let power_of_2_ms n =
+    Float.pow 2.0 (Float.of_int n) |> of_ms |> Ptime.Span.truncate ~frac_s:3
+  in
+  let zero = of_ms 0.0 in
+  let ms = of_ms 1.0 in
+  let ps = Ptime.Span.of_d_ps (0, 1L) |> Option.get in
+  (* Using RFC9562 "method 3" for representiong sub-millisecond fractions,
+     that smallest amount of time a v7 UUID can represent is 1 / 4096 ms,
+     which is (just less than) 244141 picoseconds *)
+  let tick = Ptime.Span.of_d_ps (0, 244141L) |> Option.get in
+  let ( - ) = Ptime.Span.sub in
+  let to_d_ps = Ptime.Span.to_d_ps in
+  [
+    (zero |> to_d_ps, "00000000-0000-7000-8000-000000000000")
+  ; (tick |> to_d_ps, "00000000-0000-7001-8000-000000000000")
+  ; (ms |> to_d_ps, "00000000-0001-7000-8000-000000000000")
+  ; (ms - ps |> to_d_ps, "00000000-0000-7fff-8000-000000000000")
+    (* Test a wide range of dates - but we can't get much bigger than
+       epoch + 2^47 milliseconds, and that puts us in the year 6429 and Ptime
+       only allows dates up to the year 9999 *)
+  ; (power_of_2_ms 05 |> to_d_ps, "00000000-0020-7000-8000-000000000000")
+  ; (power_of_2_ms 15 |> to_d_ps, "00000000-8000-7000-8000-000000000000")
+  ; (power_of_2_ms 25 |> to_d_ps, "00000200-0000-7000-8000-000000000000")
+  ; (power_of_2_ms 35 |> to_d_ps, "00080000-0000-7000-8000-000000000000")
+  ; (power_of_2_ms 45 |> to_d_ps, "20000000-0000-7000-8000-000000000000")
+  ; (power_of_2_ms 47 |> to_d_ps, "80000000-0000-7000-8000-000000000000")
+  ; (power_of_2_ms 47 - ps |> to_d_ps, "7fffffff-ffff-7fff-8000-000000000000")
+  ]
+
+let uuid_v7_adjustments =
+  let ( * ) = Int64.mul in
+  let ( + ) = Int64.add in
+  let ( / ) = Int64.div in
+  let ps_in_ns = 1_000L in
+  let ns_in_ms = 1_000_000L in
+  let ps_in_ms = ps_in_ns * ns_in_ms in
+  let ns_in_day = ns_in_ms * 1000L * 60L * 60L * 24L in
+  [
+    (0L, (0, 0L))
+  ; (ns_in_ms / 2L, (0, ps_in_ms / 2L))
+  ; (ns_in_ms, (0, ps_in_ms))
+  ; (ns_in_day, (1, 0L))
+  ; (ns_in_day + (ns_in_ms / 4L), (1, ps_in_ms / 4L))
+  ]
+
+let uuid_v7_bytes =
+  [
+    (1L, "00000000-0000-7000-8000-000000000001")
+  ; (-1L, "00000000-0000-7000-bfff-ffffffffffff")
+  ; (0x1234_5678_9abc_def0L, "00000000-0000-7000-9234-56789abcdef0")
+  ]
+
 type resource
 
 let uuid_testable : (module Alcotest.TESTABLE with type t = resource Uuidx.t) =
@@ -51,6 +112,62 @@ let roundtrip_tests testing_uuid =
   ; ("Roundtrip array conversion", `Quick, test_array)
   ]
 
+let uuid_v4_tests ((upper, lower), expected_as_string) =
+  let expected =
+    match Uuidx.of_string expected_as_string with
+    | Some uuid ->
+        uuid
+    | None ->
+        Alcotest.fail
+          (Printf.sprintf "Couldn't convert to UUID: %s" expected_as_string)
+  in
+  let test () =
+    let result = Uuidx.make_v4_uuid upper lower in
+    Alcotest.(check @@ uuid_testable) "make UUIDv4" expected result
+  in
+  (expected_as_string, [("Make UUIDv4 from bytes", `Quick, test)])
+
+let uuid_v7_time_tests (t, expected_as_string) =
+  let expected =
+    match Uuidx.of_string expected_as_string with
+    | Some uuid ->
+        uuid
+    | None ->
+        Alcotest.fail
+          (Printf.sprintf "Couldn't convert to UUID: %s" expected_as_string)
+  in
+  let test () =
+    let result = Uuidx.make_v7_uuid_from_parts t 0L 0L in
+    Alcotest.(check @@ uuid_testable) "make UUIDv7" expected result
+  in
+  (expected_as_string, [("Make UUIDv7 from time", `Quick, test)])
+
+let uuid_v7_adjustment_tests (nanos, (days, picos)) =
+  let day0 = 20000 in
+  let bs = 0x01234_5678_9abc_defL in
+  let expected = Uuidx.make_v7_uuid_from_parts (day0 + days, picos) 0L bs in
+  let expected_as_string = Uuidx.to_string expected in
+  let test () =
+    let result = Uuidx.make_v7_uuid_from_parts (day0, 0L) nanos bs in
+    Alcotest.(check @@ uuid_testable) "make UUIDv7" expected result
+  in
+  (expected_as_string, [("Make UUIDv7 with nano adjustment", `Quick, test)])
+
+let uuid_v7_bytes_tests (bs, expected_as_string) =
+  let expected =
+    match Uuidx.of_string expected_as_string with
+    | Some uuid ->
+        uuid
+    | None ->
+        Alcotest.fail
+          (Printf.sprintf "Couldn't convert to UUID: %s" expected_as_string)
+  in
+  let test () =
+    let result = Uuidx.make_v7_uuid_from_parts (0, 0L) 0L bs in
+    Alcotest.(check @@ uuid_testable) "make UUIDv7" expected result
+  in
+  (expected_as_string, [("Make UUIDv7 from bytes", `Quick, test)])
+
 let string_roundtrip_tests testing_string =
   let testing_uuid =
     match Uuidx.of_string testing_string with
@@ -111,6 +228,10 @@ let regression_tests =
     ; List.map array_roundtrip_tests uuid_arrays
     ; List.map invalid_string_tests non_uuid_strings
     ; List.map invalid_array_tests non_uuid_arrays
+    ; List.map uuid_v4_tests uuid_v4_cases
+    ; List.map uuid_v7_time_tests uuid_v7_times
+    ; List.map uuid_v7_adjustment_tests uuid_v7_adjustments
+    ; List.map uuid_v7_bytes_tests uuid_v7_bytes
     ]
 
 let () = Alcotest.run "Uuid" regression_tests
diff --git a/ocaml/libs/uuid/uuidx.ml b/ocaml/libs/uuid/uuidx.ml
index 01dbda46899..0b425ca77d0 100644
--- a/ocaml/libs/uuid/uuidx.ml
+++ b/ocaml/libs/uuid/uuidx.ml
@@ -53,11 +53,79 @@ let read_bytes dev n =
       if read <> n then
         raise End_of_file
       else
-        Bytes.to_string buf
+        buf
     )
     (fun () -> Unix.close fd)
 
-let make_uuid_urnd () = of_bytes (read_bytes dev_urandom 16) |> Option.get
+let set_bits buf i value mask =
+  let old_octet = Bytes.get_uint8 buf i in
+  let new_octet = lnot mask land old_octet lor (mask land value) in
+  Bytes.set_uint8 buf i new_octet
+
+let set_var_and_ver ver buf =
+  (* Sets the 2-bit variant field and the 4-bit version field (see RFC 9562
+     sections 4.1 and 4.2 respectively) into a 16 byte buffer representing a
+     UUID. *)
+  set_bits buf 8 (2 lsl 6) (0x3 lsl 6) ;
+  set_bits buf 6 (ver lsl 4) (0xf lsl 4) ;
+  ()
+
+let of_buf buf = of_bytes (buf |> Bytes.to_string) |> Option.get
+
+let make_uuid_urnd () =
+  let buf = read_bytes dev_urandom 16 in
+  set_var_and_ver 4 buf ; of_buf buf
+
+let make_v4_uuid upper lower =
+  let buf = Bytes.create 16 in
+  Bytes.set_int64_be buf 0 upper ;
+  Bytes.set_int64_be buf 8 lower ;
+  set_var_and_ver 4 buf ;
+  of_buf buf
+
+let d_ps_ns_to_ms_ps =
+  let ms_in_day = 86_400_000L in
+  let ps_in_ms = 1_000_000_000L in
+  let ps_in_ns = 1_000L in
+  let ( + ) = Int64.add in
+  let ( * ) = Int64.mul in
+  let ( / ) = Int64.div in
+  let ( mod ) = Int64.rem in
+  fun days ps ns_adj ->
+    let ps_total = ps + (ps_in_ns * ns_adj) in
+    let ms = (ms_in_day * Int64.of_int days) + (ps_total / ps_in_ms) in
+    let ps = ps_total mod ps_in_ms in
+    (ms, ps)
+
+let make_v7_uuid_from_parts =
+  let ( * ) = Int64.mul in
+  let ( lsl ) = Int64.shift_left in
+  let ( lsr ) = Int64.shift_right_logical in
+  fun (days, picos) nano_adjustment rand_b ->
+    let buf = Bytes.create 16 in
+    let ms, ps = d_ps_ns_to_ms_ps days picos nano_adjustment in
+    (* We are using 12 bits to contain a sub-millisecond fraction, so we want
+       to converted the remaindered number of picoseconds into the range 0 to
+       4096. Given there are 10^9 picoseconds in a millisecond, multiplying by
+       (2^63 / 10^9) converts into the range 0 - 2^63-1, which we can shift to
+       give the 12-bit value we want. *)
+    let sub_ms_frac = (ps * 9_223_372_037L) lsr 51 |> Int64.to_int in
+    Bytes.set_int64_be buf 0 (ms lsl 16) ;
+    Bytes.set_int16_be buf 6 sub_ms_frac ;
+    Bytes.set_int64_be buf 8 rand_b ;
+    set_var_and_ver 7 buf ;
+    of_buf buf
+
+let make_rand64 () =
+  let buf = read_bytes dev_urandom 8 in
+  Bytes.get_int64_ne buf 0
+
+let make_v7_uuid =
+  let start = Mtime_clock.counter () in
+  let t0 = Ptime_clock.now () |> Ptime.to_span |> Ptime.Span.to_d_ps in
+  fun () ->
+    let ns_since_t0 = Mtime_clock.count start |> Mtime.Span.to_uint64_ns in
+    make_v7_uuid_from_parts t0 ns_since_t0 (make_rand64 ())
 
 (* Use the CSPRNG-backed urandom *)
 let make = make_uuid_urnd
@@ -66,7 +134,7 @@ type cookie = string
 
 let make_cookie () =
   read_bytes dev_urandom 64
-  |> String.to_seq
+  |> Bytes.to_seq
   |> Seq.map (fun c -> Printf.sprintf "%1x" (int_of_char c))
   |> List.of_seq
   |> String.concat ""
diff --git a/ocaml/libs/uuid/uuidx.mli b/ocaml/libs/uuid/uuidx.mli
index 618235b4ae6..26e80327557 100644
--- a/ocaml/libs/uuid/uuidx.mli
+++ b/ocaml/libs/uuid/uuidx.mli
@@ -27,14 +27,27 @@
 type 'a t
 
 val null : 'a t
-(** A null UUID, as if such a thing actually existed. It turns out to be
-    useful though. *)
+(** A null UUID, as defined in RFC 9562 5.9. *)
 
 val make : unit -> 'a t
 (** Create a fresh UUID *)
 
 val make_uuid_urnd : unit -> 'a t
 
+val make_v4_uuid : int64 -> int64 -> 'a t
+(** For testing only: Create a v4 UUID, as defined in RFC 9562 5.4 *)
+
+val make_v7_uuid_from_parts : int * int64 -> int64 -> int64 -> 'a t
+(** For testing only: create a v7 UUID, as defined in RFC 9562 5.7 *)
+
+val make_v7_uuid : unit -> 'a t
+(** Create a fresh v7 UUID, as defined in RFC 9562 5.7. This incorporates a
+    POSIX timestamp, such that the alphabetic of any two such UUIDs will match
+    the timestamp order - provided that they are at least 245 nanoseconds
+    apart. Note that in order to ensure that the timestamps used are
+    monotonic, operating time adjustments are ignored and hence timestamps
+    only approximate system time. *)
+
 val pp : Format.formatter -> 'a t -> unit
 
 val equal : 'a t -> 'a t -> bool