Step 1: Express \(x\) in terms of \(y\).
Given,
\[
y=\frac{ax+b}{cx+d}
\]
Cross multiplying,
\[
y(cx+d)=ax+b
\]
\[
cxy+dy=ax+b
\]
Bring the terms containing \(x\) on one side,
\[
cxy-ax=b-dy
\]
Taking \(x\) common,
\[
x(cy-a)=b-dy
\]
Therefore,
\[
x=\frac{b-dy}{cy-a}
\]
Multiplying numerator and denominator by \(-1\),
\[
x=\frac{dy-b}{a-cy}
\]
Step 2: Differentiate \(x\) with respect to \(y\).
Now,
\[
x=\frac{dy-b}{a-cy}
\]
Using quotient rule,
\[
\frac{dx}{dy}
=
\frac{(a-cy)\frac{d}{dy}(dy-b)-(dy-b)\frac{d}{dy}(a-cy)}{(a-cy)^2}
\]
Since,
\[
\frac{d}{dy}(dy-b)=d
\]
and
\[
\frac{d}{dy}(a-cy)=-c
\]
we get
\[
\frac{dx}{dy}
=
\frac{d(a-cy)-(dy-b)(-c)}{(a-cy)^2}
\]
\[
\frac{dx}{dy}
=
\frac{ad-cdy+cdy-bc}{(a-cy)^2}
\]
\[
\frac{dx}{dy}
=
\frac{ad-bc}{(a-cy)^2}
\]
Step 3: Compare with the given form.
Given,
\[
\frac{dx}{dy}=\frac{ad-bc}{Py^2+Qy+R}
\]
From our result,
\[
\frac{dx}{dy}=\frac{ad-bc}{(a-cy)^2}
\]
Therefore,
\[
Py^2+Qy+R=(a-cy)^2
\]
Expanding,
\[
(a-cy)^2=a^2-2acy+c^2y^2
\]
So,
\[
Py^2+Qy+R=c^2y^2-2acy+a^2
\]
Thus,
\[
P=c^2,\quad Q=-2ac,\quad R=a^2
\]
Step 4: Find \(P+Q+R\).
\[
P+Q+R=c^2-2ac+a^2
\]
\[
P+Q+R=a^2-2ac+c^2
\]
\[
P+Q+R=(a-c)^2
\]
Step 5: Final conclusion.
Therefore,
\[
\boxed{(a-c)^2}
\]