I was wondering: how often do nanosecond timestamps collide on modern systems? The answer is: very often, like 5% of all samples, when reading the clock on all 4 physical cores at the same time. As a result, I think it is unsafe to assume that a raw nanosecond timestamp is a unique identifier.
I wrote a small test program to test this. I used Go, which records both the "absolute" time and the "monotonic clock" relative time on each call to time.Now(), so I compared both the relative difference between consecutive timestamps, as well as just the absolute timestamps. As expected, the behavior depends on the system, so I observe very different results on Mac OS X and Linux. On Linux, within a single thread, both the absolute and monotonic times always increase. On my system, the minimum increment was 32 ns. Between threads, approximately 5% of the absolute times were exactly the same as other threads. Even with 2 threads on a 4 core system, approximately 2% of timestamps collided. On Mac OS X: the absolute time has microsecond resolution, so there are an astronomical number of collisions when I repeat this same test. Even within a thread I often observe the monotonic clock not increment.
See the test program on Github if you are curious.