and may also have layers of:
The wythes of concrete are structurally attached to each other with jointers through the insulation wythe, that are made from strong materials with a low thermal conductivity (such as fibreglass) to reduce the thermal bridging of the insulation.
The panels are made by pouring concrete on beds at concrete precasters or on a suitable area such as a floor slab on site, and are built up in these layers.
There are several proprietary brands of jointers and various panel design options.