PDF417 Data Collection Form
// ==UserScript==
// @name Make New PDF417 Barcode
// @namespace http://tampermonkey.net/
// @version 1.3
// @description PDF417 Data Collection Form
// @license MIT
// @match *://*/*
// @author SijosxStudio
// @url https://gf.qytechs.cn/en/users/1375139-sijosxstudio
// @grant none
// ==/UserScript==
(function() {
'use strict';
// Create the form HTML
const formHTML = `<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>PDF417 Data Collection</title>
<style>
body {
font-family: Arial, sans-serif;
}
form {
max-width: 600px;
margin: 0 auto;
padding: 20px;
border: 1px solid #ccc;
border-radius: 5px;
background-color: #f9f9f9;
}
label {
display: block;
margin-bottom: 10px;
}
input[type="text"] {
width: 100%;
padding: 8px;
margin-bottom: 15px;
border: 1px solid #ccc;
border-radius: 4px;
}
button {
padding: 10px 15px;
background-color: #28a745;
color: white;
border: none;
border-radius: 5px;
cursor: pointer;
}
button:hover {
background-color: #218838;
}
</style>
</head>
<body>
<h1>PDF417 Data Entry</h1>
<form id="pdf417Form">
<label for="dlNumber">Enter DL#: (DAQ)</label>
<input type="text" id="dlNumber" required>
<label for="familyName">Enter Family Name (DCS):</label>
<input type="text" id="familyName" required>
<label for="familyNameTruncation">Enter Family Name Truncation (DDE):</label>
<input type="text" id="familyNameTruncation" required>
<label for="firstNames">Enter First Names (DAC):</label>
<input type="text" id="firstNames" required>
<label for="firstNamesTruncation">Enter First Names Truncation (DDF):</label>
<input type="text" id="firstNamesTruncation" required>
<label for="middleNames">Enter Middle Names (DAD):</label>
<input type="text" id="middleNames">
<label for="middleNamesTruncation">Enter Middle Names Truncation (DDG):</label>
<input type="text" id="middleNamesTruncation">
<label for="classCode">Enter Virginia Specific Class (DCA):</label>
<input type="text" id="classCode">
<label for="restrictions">Enter Virginia Specific Restrictions (DCB):</label>
<input type="text" id="restrictions">
<label for="endorsements">Enter Virginia Specific Endorsements (DCD):</label>
<input type="text" id="endorsements">
<label for="issueDate">Enter Issue Date (DBD):</label>
<input type="text" id="issueDate" required>
<label for="dateOfBirth">Enter Date of Birth (DBB):</label>
<input type="text" id="dateOfBirth" required>
<label for="expirationDate">Enter Expiration Date (DBA):</label>
<input type="text" id="expirationDate" required>
<label for="sex">Enter Sex (DBC):</label>
<input type="text" id="sex" required>
<label for="height">Enter Height (DAU):</label>
<input type="text" id="height" required>
<label for="eyes">Enter Eyes (DAY):</label>
<input type="text" id="eyes">
<label for="address">Enter Address (DAG):</label>
<input type="text" id="address">
<label for="city">Enter City (DAI):</label>
<input type="text" id="city">
<label for="state">Enter State (DAJ):</label>
<input type="text" id="state">
<label for="zip">Enter Zip Code (DAK):</label>
<input type="text" id="zip">
<label for="documentDiscriminator">Enter Document Discriminator (DCF):</label>
<input type="text" id="documentDiscriminator">
<label for="country">Enter Country/Territory of Issuance (DCG):</label>
<input type="text" id="country">
<label for="suffix">Enter Suffix (Optional, DCU):</label>
<input type="text" id="suffix">
<label for="inventoryControlNumber">Enter Inventory Control Number (Optional, DCK):</label>
<input type="text" id="inventoryControlNumber">
<label for="complianceType">Enter Compliance Type (Optional, DDA):</label>
<input type="text" id="complianceType">
<label for="cardRevisionDate">Enter Card Revision Date (Optional, DDB):</label>
<input type="text" id="cardRevisionDate">
<label for="hazMatEndorsementExpiry">Enter HazMat Endorsement Expiry Date (Optional, DDC):</label>
<input type="text" id="hazMatEndorsementExpiry">
<label for="limitedDurationDocumentIndicator">Enter Limited Duration Document Indicator (Optional, DDD):</label>
<input type="text" id="limitedDurationDocumentIndicator">
<label for="courtRestrictionCodes">Enter Court Restriction Code(s) (Optional, ZVA):</label>
<input type="text" id="courtRestrictionCodes">
<button type="submit">Generate PDF417 Data</button>
</form>
<pre id="output"></pre>
<script>
document.getElementById('pdf417Form').addEventListener('submit', function(event) {
event.preventDefault(); // Prevent form submission
// Collect data from form fields
const data = [];
data.push(\`@LFRSCR\`); // Compliance indicator
data.push(\`ANSI 636000100002\`); // File type, IIN, etc.
// Required fields
data.push(\`DAQ\${document.getElementById('dlNumber').value}\`);
data.push(\`DCS\${document.getElementById('familyName').value}\`);
data.push(\`DDE\${document.getElementById('familyNameTruncation').value}\`);
data.push(\`DAC\${document.getElementById('firstNames').value}\`);
data.push(\`DDF\${document.getElementById('firstNamesTruncation').value}\`);
data.push(\`DBD\${document.getElementById('issueDate').value}\`);
data.push(\`DBB\${document.getElementById('dateOfBirth').value}\`);
data.push(\`DBA\${document.getElementById('expirationDate').value}\`);
data.push(\`DBC\${document.getElementById('sex').value}\`);
data.push(\`DAU\${document.getElementById('height').value}\`);
// Optional fields
const optionalFields = ['middleNames', 'middleNamesTruncation', 'classCode', 'restrictions', 'endorsements', 'eyes', 'address', 'city', 'state', 'zip', 'documentDiscriminator', 'country', 'suffix', 'inventoryControlNumber', 'complianceType', 'cardRevisionDate', 'hazMatEndorsementExpiry', 'limitedDurationDocumentIndicator', 'courtRestrictionCodes'];
optionalFields.forEach(field => {
const element = document.getElementById(field);
if (element && element.value) {
data.push(\`\${element.id.toUpperCase().substring(0, 3)}\${element.value}\`);
}
});
// Display the output data
document.getElementById('output').textContent = data.join("\\n");
});
</script>
</body>
</html>`;
// Inject the form HTML into the page
document.body.innerHTML = formHTML;
})();
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