A321 FLT CREW HAS A MEDICAL EMER AND DIVERTS TO ZZZ.

Narrative

ENRTE; OUR FLT ATTENDANTS NOTIFIED US THAT THEY HAD AN ELDERLY FEMALE PAX ON OXYGEN. WHEN PAX FAILED TO RECOVER HER NORMAL BREATHING; ONBOARD MEDICAL PROFESSIONALS CAME TO HER AID. WE SET UP PHONE PATCH TO DISPATCH AND MEDICAL. BASED ON THE DIAGNOSIS OF THE DOCTOR WHO WAS EXAMINING HER AND MEDICAL'S CONCURRENCE; WE DECLARED A MEDICAL EMER AND DIVERTED. EMT PERSONNEL MET OUR FLT AND TRANSPORTED THE PAX TO A LCL HOSPITAL. SHE DID NOT SURVIVE. DEALING WITH THIS INCIDENT BROUGHT SEVERAL SAFETY FACTORS TO LIGHT. FIRST; WE HAD NO APCH CHARTS FOR ZZZ. THE COMPANY HAD 'OFF LINE' ARPTS FOR THAT AREA REMOVED FROM OUR RTE MANUAL COVERAGE. ALSO; ZZZ WAS NOT STORED IN OUR FMS DATABASE; PRESUMABLY AS A COST REDUCTION MEASURE. WE WERE FORCED TO RELY ON ATC VECTORS TO A VISUAL APCH IN DAYLIGHT VMC. ANOTHER FACTOR WAS COMS. THE COMPANY HAD REMOVED THE INFLT 'AIRFONE' SYS FROM THE ACFT. THIS SYS WOULD HAVE ALLOWED THE DOCTOR TO TALK DIRECTLY TO MEDICAL. HAVING TO RELAY INFO VIA A PHONE PATCH WAS INEFFICIENT AND TOOK PRECIOUS TIME. LASTLY; ANY LNDG AT AN 'OFF-LINE' ARPT CAN PRESENT PROBS WHICH MUST BE DEALT WITH BEFORE A FLT CAN CONTINUE TO ITS DEST. IN THIS INCIDENT; WE LANDED THE ACFT AT A GROSS WT SLIGHTLY IN EXCESS OF THE MAX CERTIFIED LNDG WT. WE DISCUSSED THE ISSUE WITH DISPATCH AND OUR TECHNICAL CTR REPRESENTATIVE. BASED ON THE TECHNICAL DEFINITION OF 'OVERWT LNDG' AND THE FACT THAT NO 'OVERWT' ALERT HAD BEEN DISPLAYED ON OUR FMS; IT WAS DETERMINED THAT AN OVERWT LNDG HAD NOT OCCURRED AND; THEREFORE; NO INSPECTION WAS REQUIRED. AFTER DEALING WITH OTHER ITEMS REQUIRING MEL APPROVAL; WE CONTINUED ON UNEVENTFULLY.